10D2069883 CLIA NUMBER - JUAN LING MD PA

Laboratory Demographics

  • CLIA Code: 10D2069883
  • Facility Name: JUAN LING MD PA
  • Facility Address: 305 BRYAN RD STE 7
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 681-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN LING
  • NPI Number: 1326068040
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2069883
LAB Type Physician Office
Facility Name JUAN LING MD PA
Street 305 BRYAN RD STE 7
City BRANDON
State FL
ZIP 33511
Phone 813 681-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director JUAN LING

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