10D2001949 CLIA NUMBER - JOHN P LIPPELMAN MD

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Laboratory Demographics

CLIA Number: 10D2001949

Facility Name: JOHN P LIPPELMAN MD

Facility Address:
508 S HABANA AVE, STE 220
TAMPA, FL
ZIP 33609
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Facility Phone Number: 813 870-0207

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134198583

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2001949
LAB Type	Physician Office
Facility Name	JOHN P LIPPELMAN MD
Street	508 S HABANA AVE, STE 220
City	TAMPA
State	FL
ZIP	33609
Phone	813 870-0207
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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