10D2021537 CLIA NUMBER - FAST TRACK URGENT CARE CENTER

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Laboratory Demographics

CLIA Number: 10D2021537

Facility Name: FAST TRACK URGENT CARE CENTER

Facility Address:
3301 W GANDY BLVD
TAMPA, FL
ZIP 33611
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Facility Phone Number: 813 925-1903

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1063718013

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2021537
LAB Type	Other - URGENT CARE CENTER
Facility Name	FAST TRACK URGENT CARE CENTER
Street	3301 W GANDY BLVD
City	TAMPA
State	FL
ZIP	33611
Phone	813 925-1903
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024