10D2149047 CLIA NUMBER - TAMPA PHARMACY 01 LLC

Laboratory Demographics

  • CLIA Code: 10D2149047
  • Facility Name: TAMPA PHARMACY 01 LLC
  • Facility Address: 14306-D N DALE MABRY HWY
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 644-7277
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJIV PATEL
  • NPI Number: 1689044141
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2149047
LAB Type Pharmacy
Facility Name TAMPA PHARMACY 01 LLC
Street 14306-D N DALE MABRY HWY
City TAMPA
State FL
ZIP 33618
Phone 813 644-7277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Pharmacy
Lab Director RAJIV PATEL

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