10D2016881 CLIA NUMBER - PADGETT MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2016881
  • Facility Name: PADGETT MEDICAL CENTER LLC
  • Facility Address: 6904 W LINEBAUGH AVE
    TAMPA, FL
    ZIP 33625
  • Facility Phone: 813 888-7710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OMAR GARCIA
  • NPI Number: 1457671554
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2016881
LAB Type Physician Office
Facility Name PADGETT MEDICAL CENTER LLC
Street 6904 W LINEBAUGH AVE
City TAMPA
State FL
ZIP 33625
Phone 813 888-7710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director DR. OMAR GARCIA

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