10D2006122 CLIA NUMBER - BICH-NGOC T PHAM MD LLC

Laboratory Demographics

  • CLIA Code: 10D2006122
  • Facility Name: BICH-NGOC T PHAM MD LLC
  • Facility Address: 11041 COUNTRYWAY BLVD
    TAMPA, FL
    ZIP 33626
  • Facility Phone: 813 749-0844
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BICH-NGOC T. PHAM
  • NPI Number: 1033283965
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2006122
LAB Type Physician Office
Facility Name BICH-NGOC T PHAM MD LLC
Street 11041 COUNTRYWAY BLVD
City TAMPA
State FL
ZIP 33626
Phone 813 749-0844
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director DR. BICH-NGOC T. PHAM

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