10D2027393 CLIA NUMBER - LUTZ REHAB AND HEALTH CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2027393
  • Facility Name: LUTZ REHAB AND HEALTH CENTER LLC
  • Facility Address: 19091 N DALE MABRY HWY
    LUTZ, FL
    ZIP 33548
  • Facility Phone: 813 751-0557
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PHILIP ATIGRE
  • NPI Number: 1669988424
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2027393
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTZ REHAB AND HEALTH CENTER LLC
Street 19091 N DALE MABRY HWY
City LUTZ
State FL
ZIP 33548
Phone 813 751-0557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PHILIP ATIGRE

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