10D2093598 CLIA NUMBER - UNIVERSITY OF SOUTH FLORIDA DBA STUDENT HEALTH AND WELLNESS CENTER

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Laboratory Demographics

CLIA Number: 10D2093598

Facility Name: UNIVERSITY OF SOUTH FLORIDA DBA STUDENT HEALTH AND WELLNESS CENTER

Facility Address:
12530 USF BULL RUN DR
TAMPA, FL
ZIP 33620
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Facility Phone Number: 813 974-1817

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1588932990

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2093598
LAB Type	School/Student Health Service
Facility Name	UNIVERSITY OF SOUTH FLORIDA DBA STUDENT HEALTH AND WELLNESS CENTER
Street	12530 USF BULL RUN DR
City	TAMPA
State	FL
ZIP	33620
Phone	813 974-1817
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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