10D2150858 CLIA NUMBER - BLESSEDCARE CENTER, INC

Laboratory Demographics

  • CLIA Code: 10D2150858
  • Facility Name: BLESSEDCARE CENTER, INC
  • Facility Address: 4710 N HABANA AVE STE 402
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 713 304-1299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS A. SALAZAR
  • NPI Number: 1104308170
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2150858
LAB Type Physician Office
Facility Name BLESSEDCARE CENTER, INC
Street 4710 N HABANA AVE STE 402
City TAMPA
State FL
ZIP 33614
Phone 713 304-1299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director CARLOS A. SALAZAR

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This page was last updated on: 3/20/2025