10D2061537 CLIA NUMBER - PEDIATRIC PLACE OF TAMPA

Laboratory Demographics

  • CLIA Code: 10D2061537
  • Facility Name: PEDIATRIC PLACE OF TAMPA
  • Facility Address: 1338 W FLETCHER AVE
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 264-2288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELE JOHNSON TOWSON
  • NPI Number: 1033492236
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2061537
LAB Type Physician Office
Facility Name PEDIATRIC PLACE OF TAMPA
Street 1338 W FLETCHER AVE
City TAMPA
State FL
ZIP 33612
Phone 813 264-2288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director MICHELE JOHNSON TOWSON

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