10D2159832 CLIA NUMBER - ST JOSEPHS CHILDRENS HOSPITAL PEDI TRANSPORT

Laboratory Demographics

  • CLIA Code: 10D2159832
  • Facility Name: ST JOSEPHS CHILDRENS HOSPITAL PEDI TRANSPORT
  • Facility Address: 3006 W DR MARTIN LUTHER KING JR BLVD MS 3032
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 870-4226
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PATRICK ERDMAN
  • NPI Number: 1740261189
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2159832
LAB Type Ambulance
Facility Name ST JOSEPHS CHILDRENS HOSPITAL PEDI TRANSPORT
Street 3006 W DR MARTIN LUTHER KING JR BLVD MS 3032
City TAMPA
State FL
ZIP 33607
Phone 813 870-4226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Ambulance
Lab Director PATRICK ERDMAN

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