10D2149992 CLIA NUMBER - TAMPA PHARMACY 13 LLC

Laboratory Demographics

  • CLIA Code: 10D2149992
  • Facility Name: TAMPA PHARMACY 13 LLC
  • Facility Address: 5908 BRECKENRIDGE PARKWAY
    TAMPA, FL
    ZIP 33610
  • Facility Phone: 813 644-7277
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJIV PATEL
  • NPI Number: 1811133424
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2149992
LAB Type Pharmacy
Facility Name TAMPA PHARMACY 13 LLC
Street 5908 BRECKENRIDGE PARKWAY
City TAMPA
State FL
ZIP 33610
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 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Pharmacy
Lab Director RAJIV PATEL

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