10D2055349 CLIA NUMBER - LUIS J LOPEZ MD PA

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Laboratory Demographics

CLIA Number: 10D2055349

Facility Name: LUIS J LOPEZ MD PA

Facility Address:
4700 HABANA AVE STE 701
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 324-5888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346342201

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2055349
LAB Type	Physician Office
Facility Name	LUIS J LOPEZ MD PA
Street	4700 HABANA AVE STE 701
City	TAMPA
State	FL
ZIP	33614
Phone	813 324-5888
CertificateType	4
CertificateEffectiveDate	3/11/2023
CertificateExpirationDate	3/10/2025
FacilityType	Waiver

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