10D2085047 CLIA NUMBER - BAYCARE URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D2085047
  • Facility Name: BAYCARE URGENT CARE
  • Facility Address: 11921 S DALE MABRY HWY STE 7
    TAMPA, FL
    ZIP 33629
  • Facility Phone: 813 609-3635
  • Facility Type: Other - CLINIC CENTER URGENT
  • Facility Type: Waiver
  • Lab Director: NATHAN K. WALDREP
  • NPI Number: 1629644869
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2085047
LAB Type Other - CLINIC CENTER URGENT
Facility Name BAYCARE URGENT CARE
Street 11921 S DALE MABRY HWY STE 7
City TAMPA
State FL
ZIP 33629
Phone 813 609-3635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Other - CLINIC CENTER URGENT
Lab Director NATHAN K. WALDREP

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