10D2021580 CLIA NUMBER - CAREATC CITY OF TAMPA

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Laboratory Demographics

CLIA Number: 10D2021580

Facility Name: CAREATC CITY OF TAMPA

Facility Address:
4107 N HIMES AVE STE 101
TAMPA, FL
ZIP 33607
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Facility Phone Number: 800 993-8244

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528619293

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2021580
LAB Type	Physician Office
Facility Name	CAREATC CITY OF TAMPA
Street	4107 N HIMES AVE STE 101
City	TAMPA
State	FL
ZIP	33607
Phone	800 993-8244
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