10D2140341 CLIA NUMBER - DIVERSITY HEALTH CENTER OF TAMPA BAY

Laboratory Demographics

  • CLIA Code: 10D2140341
  • Facility Name: DIVERSITY HEALTH CENTER OF TAMPA BAY
  • Facility Address: 4302 N HABANA AVE STE 200
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 518-0881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID W. LYTER
  • NPI Number: 1912410895
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2140341
LAB Type Physician Office
Facility Name DIVERSITY HEALTH CENTER OF TAMPA BAY
Street 4302 N HABANA AVE STE 200
City TAMPA
State FL
ZIP 33607
Phone 813 518-0881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director DAVID W. LYTER

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