10D2035586 CLIA NUMBER - XCELSIOR HEALTH INC

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Laboratory Demographics

CLIA Number: 10D2035586

Facility Name: XCELSIOR HEALTH INC

Facility Address:
2506 S MACDILL AVE - STE A
TAMPA, FL
ZIP 33629
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Facility Phone Number: 813 605-1977

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184909913

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2035586
LAB Type	Physician Office
Facility Name	XCELSIOR HEALTH INC
Street	2506 S MACDILL AVE - STE A
City	TAMPA
State	FL
ZIP	33629
Phone	813 605-1977
CertificateType	4
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Waiver

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