10D2017803 CLIA NUMBER - ANNE HERMANN MD PA

Laboratory Demographics

  • CLIA Code: 10D2017803
  • Facility Name: ANNE HERMANN MD PA
  • Facility Address: 3040 W CYPRESS ST STE 103
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 727 278-3992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE C. HERMANN
  • NPI Number: 1548485220
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2017803
LAB Type Physician Office
Facility Name ANNE HERMANN MD PA
Street 3040 W CYPRESS ST STE 103
City TAMPA
State FL
ZIP 33609
Phone 727 278-3992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director ANNE C. HERMANN

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