10D2044205 CLIA NUMBER - ECOPCO CARROLLWOOD, LLC DBA SODALIS TAMPA

Laboratory Demographics

  • CLIA Code: 10D2044205
  • Facility Name: ECOPCO CARROLLWOOD, LLC DBA SODALIS TAMPA
  • Facility Address: 3636 BEARRS AVENUE
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 960-5346
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE C. GOODREAU
  • NPI Number: 1043596778
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2044205
LAB Type Assisted Living Facility
Facility Name ECOPCO CARROLLWOOD, LLC DBA SODALIS TAMPA
Street 3636 BEARRS AVENUE
City TAMPA
State FL
ZIP 33618
Phone 813 960-5346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Assisted Living Facility
Lab Director MICHELLE C. GOODREAU

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