10D2015173 CLIA NUMBER - PALMA CEIA HEART AND VASCULAR

Laboratory Demographics

  • CLIA Code: 10D2015173
  • Facility Name: PALMA CEIA HEART AND VASCULAR
  • Facility Address: 2919 W SWANN AVE STE 102
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 813 870-3971
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC R. STAUFFER
  • NPI Number: 1245453679
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2015173
LAB Type Physician Office
Facility Name PALMA CEIA HEART AND VASCULAR
Street 2919 W SWANN AVE STE 102
City TAMPA
State FL
ZIP 33609
Phone 813 870-3971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director MARC R. STAUFFER

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