10D2107717 CLIA NUMBER - BOARDPREP LLC

Laboratory Demographics

  • CLIA Code: 10D2107717
  • Facility Name: BOARDPREP LLC
  • Facility Address: 2522 W KENNEDY BLVD
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 813 600-7929
  • Facility Type: Other - BEHAVIORAL HEALTH SUBSTAN
  • Facility Type: Waiver
  • Lab Director: JAMIE FERNANDEZ
  • NPI Number: 1487050597
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 10D2107717
LAB Type Other - BEHAVIORAL HEALTH SUBSTAN
Facility Name BOARDPREP LLC
Street 2522 W KENNEDY BLVD
City TAMPA
State FL
ZIP 33609
Phone 813 600-7929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Other - BEHAVIORAL HEALTH SUBSTAN
Lab Director JAMIE FERNANDEZ

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