10D2020952 CLIA NUMBER - SWEET CHILD O MINE LLC

Laboratory Demographics

  • CLIA Code: 10D2020952
  • Facility Name: SWEET CHILD O MINE LLC
  • Facility Address: 215 LITHIA PINECREST RD
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 685-8404
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KIM VERBARG
  • NPI Number: 1831437201
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2020952
LAB Type Practitioner Other
Facility Name SWEET CHILD O MINE LLC
Street 215 LITHIA PINECREST RD
City BRANDON
State FL
ZIP 33511
Phone 813 685-8404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Practitioner Other
Lab Director KIM VERBARG

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