10D2078625 CLIA NUMBER - ADVENTHEALTH CENTRA CARE SOUTH TAMPA

Home > CLIA Lookup > 10D2078625

Laboratory Demographics

CLIA Number: 10D2078625

Facility Name: ADVENTHEALTH CENTRA CARE SOUTH TAMPA

Facility Address:
301 N DALE MABRY HWY
TAMPA, FL
ZIP 33609
Get Directions

Facility Phone Number: 407 437-4074

Facility Type: Other - WALKIN URGENT CARE

Certificate Type: Waiver

NPI Number: 1114330800

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2078625
LAB Type	Other - WALKIN URGENT CARE
Facility Name	ADVENTHEALTH CENTRA CARE SOUTH TAMPA
Street	301 N DALE MABRY HWY
City	TAMPA
State	FL
ZIP	33609
Phone	407 437-4074
CertificateType	4
CertificateEffectiveDate	6/2/2022
CertificateExpirationDate	6/1/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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