10D2165327 CLIA NUMBER - PHOENIX MEDICAL CENTERS CORP

Laboratory Demographics

  • CLIA Code: 10D2165327
  • Facility Name: PHOENIX MEDICAL CENTERS CORP
  • Facility Address: 3645 W WATERS AVE
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 462-2595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARNALDO M. ORELLANA MOLINA
  • NPI Number: 1598226797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2165327
LAB Type Physician Office
Facility Name PHOENIX MEDICAL CENTERS CORP
Street 3645 W WATERS AVE
City TAMPA
State FL
ZIP 33614
Phone 813 462-2595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director ARNALDO M. ORELLANA MOLINA

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