10D2039919 CLIA NUMBER - TAMPA FAMILY HEALTH CENTERS

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Laboratory Demographics

CLIA Number: 10D2039919

Facility Name: TAMPA FAMILY HEALTH CENTERS

Facility Address:
2727 WEST DR MLK JR BLVD SUITE 630
TAMPA, FL
ZIP 33607
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Facility Phone Number: 813 955-1501

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1104866870

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2039919
LAB Type	Federally Qualified Health Center
Facility Name	TAMPA FAMILY HEALTH CENTERS
Street	2727 WEST DR MLK JR BLVD SUITE 630
City	TAMPA
State	FL
ZIP	33607
Phone	813 955-1501
CertificateType	4
CertificateEffectiveDate	4/19/2024
CertificateExpirationDate	4/18/2026
FacilityType	Waiver

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