10D1105071 CLIA NUMBER - TAMPA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1105071
  • Facility Name: TAMPA SURGERY CENTER
  • Facility Address: 13904 N DALE MABRY HWY STE 100
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 397-1692
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: T HUNTER NEWSOM
  • NPI Number: 1023256187
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1105071
LAB Type Ambulatory Surgery Center
Facility Name TAMPA SURGERY CENTER
Street 13904 N DALE MABRY HWY STE 100
City TAMPA
State FL
ZIP 33618
Phone 813 397-1692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Ambulatory Surgery Center
Lab Director T HUNTER NEWSOM

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