10D2147675 CLIA NUMBER - TAMPA BAY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 10D2147675
  • Facility Name: TAMPA BAY FAMILY CLINIC
  • Facility Address: 7206 N ARMENIA AVE
    TAMPA, FL
    ZIP 33604
  • Facility Phone: 813 775-5429
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO J. GONZALEZ
  • NPI Number: 1336646587
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2147675
LAB Type Physician Office
Facility Name TAMPA BAY FAMILY CLINIC
Street 7206 N ARMENIA AVE
City TAMPA
State FL
ZIP 33604
Phone 813 775-5429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director MARIO J. GONZALEZ

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