10D1107452 CLIA NUMBER - FIRST CARE WALK IN CLINIC LLC

Laboratory Demographics

CLIA Number: 10D1107452

Facility Name: FIRST CARE WALK IN CLINIC LLC

Facility Address:
2912 WEST WATERS AVE
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 443-4611

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588992713

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1107452
LAB Type	Physician Office
Facility Name	FIRST CARE WALK IN CLINIC LLC
Street	2912 WEST WATERS AVE
City	TAMPA
State	FL
ZIP	33614
Phone	813 443-4611
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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