10D2165474 CLIA NUMBER - FLORIDA KIDNEY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 10D2165474
  • Facility Name: FLORIDA KIDNEY PHYSICIANS
  • Facility Address: 12662 TELECOM DR
    TEMPLE TERRACE, FL
    ZIP 33637
  • Facility Phone: 813 910-0030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PABLO RUIZ-RAMON
  • NPI Number: 1295402121
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2165474
LAB Type Physician Office
Facility Name FLORIDA KIDNEY PHYSICIANS
Street 12662 TELECOM DR
City TEMPLE TERRACE
State FL
ZIP 33637
Phone 813 910-0030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director PABLO RUIZ-RAMON

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