10D2063581 CLIA NUMBER - TEN BROECK TAMPA INC DBA NORTH TAMPA BEHAVORIAL HEALTH

Laboratory Demographics

  • CLIA Code: 10D2063581
  • Facility Name: TEN BROECK TAMPA INC DBA NORTH TAMPA BEHAVORIAL HEALTH
  • Facility Address: 29910 STATE ROAD 56
    WESLEY CHAPEL, FL
    ZIP 33543
  • Facility Phone: 813 922-3300
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: CHRISTINE WANK
  • NPI Number: 1811336902
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2063581
LAB Type Hospital
Facility Name TEN BROECK TAMPA INC DBA NORTH TAMPA BEHAVORIAL HEALTH
Street 29910 STATE ROAD 56
City WESLEY CHAPEL
State FL
ZIP 33543
Phone 813 922-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Hospital
Lab Director CHRISTINE WANK

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