10D1100629 CLIA NUMBER - TOWER IMAGING LLC TOWER RADIOLOGY CENTER WESLEY CHAPEL

Laboratory Demographics

  • CLIA Code: 10D1100629
  • Facility Name: TOWER IMAGING LLC TOWER RADIOLOGY CENTER WESLEY CHAPEL
  • Facility Address: 2324 OAK MYRTLE LN
    WESLEY CHAPEL, FL
    ZIP 33544
  • Facility Phone: 813 751-0422
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RANDY BLANCO
  • NPI Number: 1891955860
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1100629
LAB Type Other
Facility Name TOWER IMAGING LLC TOWER RADIOLOGY CENTER WESLEY CHAPEL
Street 2324 OAK MYRTLE LN
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 813 751-0422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Other
Lab Director RANDY BLANCO

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