10D1079407 CLIA NUMBER - DR MEDICAL CARE LLC

Laboratory Demographics

  • CLIA Code: 10D1079407
  • Facility Name: DR MEDICAL CARE LLC
  • Facility Address: 10841 PARK DRIVE
    RIVERVIEW, FL
    ZIP 33569
  • Facility Phone: 813 677-6900
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DIANA ROQUE
  • NPI Number: 1851453914
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1079407
LAB Type Mobile Laboratory
Facility Name DR MEDICAL CARE LLC
Street 10841 PARK DRIVE
City RIVERVIEW
State FL
ZIP 33569
Phone 813 677-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Mobile Laboratory
Lab Director DIANA ROQUE

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This page was last updated on: 9/29/2025