10D1102776 CLIA NUMBER - TAMPA BAY IMAGING LLC

Laboratory Demographics

  • CLIA Code: 10D1102776
  • Facility Name: TAMPA BAY IMAGING LLC
  • Facility Address: 7800 66TH N STE 106
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 545-9674
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KIN B. POWERS DO
  • NPI Number: 1912952482
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1102776
LAB Type Other
Facility Name TAMPA BAY IMAGING LLC
Street 7800 66TH N STE 106
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 545-9674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Other
Lab Director KIN B. POWERS DO

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