10D2155815 CLIA NUMBER - FLORIDA DEPARTMENT OF HEALTH HILLSBOROUGH COUNTY REFUGEE PROGRAM

Laboratory Demographics

CLIA Number: 10D2155815

Facility Name: FLORIDA DEPARTMENT OF HEALTH HILLSBOROUGH COUNTY REFUGEE PROGRAM

Facility Address:
2202 E 26TH AVE
TAMPA, FL
ZIP 33605
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Facility Phone Number: 813 928-1780

Facility Type: Other - CO HEALTH DEPT

Certificate Type: Waiver

NPI Number: 1366511941

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	10D2155815
LAB Type	Other - CO HEALTH DEPT
Facility Name	FLORIDA DEPARTMENT OF HEALTH HILLSBOROUGH COUNTY REFUGEE PROGRAM
Street	2202 E 26TH AVE
City	TAMPA
State	FL
ZIP	33605
Phone	813 928-1780
CertificateType	4
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024