10D2014429 CLIA NUMBER - BENJAMIN MENA MD PA

Laboratory Demographics

  • CLIA Code: 10D2014429
  • Facility Name: BENJAMIN MENA MD PA
  • Facility Address: 2835 W DE LEON ST STE 104
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 813 443-0606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN MENA
  • NPI Number: 1659359420
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2014429
LAB Type Physician Office
Facility Name BENJAMIN MENA MD PA
Street 2835 W DE LEON ST STE 104
City TAMPA
State FL
ZIP 33609
Phone 813 443-0606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director BENJAMIN MENA

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