10D2162938 CLIA NUMBER - BAYCARE OUTPATIENT IMAGING BLOOMINGDALE

Laboratory Demographics

  • CLIA Code: 10D2162938
  • Facility Name: BAYCARE OUTPATIENT IMAGING BLOOMINGDALE
  • Facility Address: 2870 BLOOMINGDALE AVE STE 115
    VALRICO, FL
    ZIP 33596
  • Facility Phone: 813 586-8500
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: PAUL SWARTZ
  • NPI Number: 1235898529
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2162938
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BAYCARE OUTPATIENT IMAGING BLOOMINGDALE
Street 2870 BLOOMINGDALE AVE STE 115
City VALRICO
State FL
ZIP 33596
Phone 813 586-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director PAUL SWARTZ

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