10D2033411 CLIA NUMBER - TLC MEDICAL

Laboratory Demographics

  • CLIA Code: 10D2033411
  • Facility Name: TLC MEDICAL
  • Facility Address: 5106 N ARMENIA AVE STE 1
    TAMPA, FL
    ZIP 33603
  • Facility Phone: 813 874-1852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES TALAKKOTTUR
  • NPI Number: 1750535811
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2033411
LAB Type Physician Office
Facility Name TLC MEDICAL
Street 5106 N ARMENIA AVE STE 1
City TAMPA
State FL
ZIP 33603
Phone 813 874-1852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director DR. CHARLES TALAKKOTTUR

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