10D1102093 CLIA NUMBER - FLORIDA MEDICAL CLINIC, ENDOCRINOLOGY

Home > CLIA Lookup > 10D1102093

Laboratory Demographics

CLIA Number: 10D1102093

Facility Name: FLORIDA MEDICAL CLINIC, ENDOCRINOLOGY

Facility Address:
14014 N 46TH ST - STE B
TAMPA, FL
ZIP 33613
Get Directions

Facility Phone Number: 813 977-2020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891466710

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1102093
LAB Type	Physician Office
Facility Name	FLORIDA MEDICAL CLINIC, ENDOCRINOLOGY
Street	14014 N 46TH ST - STE B
City	TAMPA
State	FL
ZIP	33613
Phone	813 977-2020
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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