10D2047239 CLIA NUMBER - PRIMARY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 10D2047239
  • Facility Name: PRIMARY MEDICAL CLINIC
  • Facility Address: 3427 BROOK CROSSING DR
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 654-5331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITA R. PATEL
  • NPI Number: 1447514716
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2047239
LAB Type Physician Office
Facility Name PRIMARY MEDICAL CLINIC
Street 3427 BROOK CROSSING DR
City BRANDON
State FL
ZIP 33511
Phone 813 654-5331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director ANITA R. PATEL

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