10D1092214 CLIA NUMBER - WOMENS CARE FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D1092214

Facility Name: WOMENS CARE FLORIDA LLC

Facility Address:
13149 ELK MOUNTAIN DR
RIVERVIEW, FL
ZIP 33579
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Facility Phone Number: 813 675-8326

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1639315674

Taxonomy: 207VX0000X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D1092214
LAB Type	Physician Office
Facility Name	WOMENS CARE FLORIDA LLC
Street	13149 ELK MOUNTAIN DR
City	RIVERVIEW
State	FL
ZIP	33579
Phone	813 675-8326
CertificateType	3
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024