10D2091202 CLIA NUMBER - MID FLORIDA PHYSICAL MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2091202
  • Facility Name: MID FLORIDA PHYSICAL MEDICINE
  • Facility Address: 5808 OLD PASCO RD
    WESLEY CHAPEL, FL
    ZIP 33544
  • Facility Phone: 813 907-0033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASMA SYED
  • NPI Number: 1598198509
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2091202
LAB Type Physician Office
Facility Name MID FLORIDA PHYSICAL MEDICINE
Street 5808 OLD PASCO RD
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 813 907-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director ASMA SYED

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