10D2107597 CLIA NUMBER - EMS PROFICIENT MOBILE PHLEBOTOMY SERVICE

Laboratory Demographics

  • CLIA Code: 10D2107597
  • Facility Name: EMS PROFICIENT MOBILE PHLEBOTOMY SERVICE
  • Facility Address: 7402 N 56TH STE 710
    TAMPA, FL
    ZIP 33617
  • Facility Phone: 813 369-4248
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: FELICIA C. THOMAS
  • NPI Number: 1174155931
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2107597
LAB Type Mobile Laboratory
Facility Name EMS PROFICIENT MOBILE PHLEBOTOMY SERVICE
Street 7402 N 56TH STE 710
City TAMPA
State FL
ZIP 33617
Phone 813 369-4248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Mobile Laboratory
Lab Director FELICIA C. THOMAS

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