10D2106511 CLIA NUMBER - BRANDON TMS & PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 10D2106511
  • Facility Name: BRANDON TMS & PSYCHIATRY
  • Facility Address: 407 N PARSONS AVE STE 104
    BRANDON, FL
    ZIP 33510
  • Facility Phone: 813 681-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BORIS KAWLICHE
  • NPI Number: 1730600495
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2106511
LAB Type Physician Office
Facility Name BRANDON TMS & PSYCHIATRY
Street 407 N PARSONS AVE STE 104
City BRANDON
State FL
ZIP 33510
Phone 813 681-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director BORIS KAWLICHE

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