10D1105007 CLIA NUMBER - BROOKSHIRE RHEUMATOLOGY & WELLNESS CTR

Laboratory Demographics

  • CLIA Code: 10D1105007
  • Facility Name: BROOKSHIRE RHEUMATOLOGY & WELLNESS CTR
  • Facility Address: 16594 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 933-1944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED A. ALI
  • NPI Number: 1730633314
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1105007
LAB Type Physician Office
Facility Name BROOKSHIRE RHEUMATOLOGY & WELLNESS CTR
Street 16594 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33618
Phone 813 933-1944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2023
Certificate Expiration Date 9/14/2025
Facility Type Physician Office
Lab Director MOHAMMED A. ALI

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This page was last updated on: 6/4/2025