10D2053091 CLIA NUMBER - MATTOS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2053091
  • Facility Name: MATTOS MEDICAL GROUP
  • Facility Address: 8315 N SAULRAY ST
    TAMPA, FL
    ZIP 33604
  • Facility Phone: 813 871-2950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH MATTOS
  • NPI Number: 1740523901
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 10D2053091
LAB Type Physician Office
Facility Name MATTOS MEDICAL GROUP
Street 8315 N SAULRAY ST
City TAMPA
State FL
ZIP 33604
Phone 813 871-2950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director KENNETH MATTOS

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