10D2071669 CLIA NUMBER - TAMPA FAMILY HEALTH CENTERS

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Laboratory Demographics

CLIA Number: 10D2071669

Facility Name: TAMPA FAMILY HEALTH CENTERS

Facility Address:
5611 SHELDON RD
TAMPA, FL
ZIP 33615
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Facility Phone Number: 813 955-1501

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1811281488

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2071669
LAB Type	Federally Qualified Health Center
Facility Name	TAMPA FAMILY HEALTH CENTERS
Street	5611 SHELDON RD
City	TAMPA
State	FL
ZIP	33615
Phone	813 955-1501
CertificateType	4
CertificateEffectiveDate	1/16/2024
CertificateExpirationDate	1/15/2026
FacilityType	Waiver

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