10D2081102 CLIA NUMBER - CONCENTRA - BRANDON

Laboratory Demographics

  • CLIA Code: 10D2081102
  • Facility Name: CONCENTRA - BRANDON
  • Facility Address: 934 OAKFIELD DR
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 242-5641
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS CARRILLO
  • NPI Number: 1881171775
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2081102
LAB Type Physician Office
Facility Name CONCENTRA - BRANDON
Street 934 OAKFIELD DR
City BRANDON
State FL
ZIP 33511
Phone 813 242-5641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director LUIS CARRILLO

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