10D2166668 CLIA NUMBER - INCARE LLC

Laboratory Demographics

  • CLIA Code: 10D2166668
  • Facility Name: INCARE LLC
  • Facility Address: 11922 BOYETTE ROAD
    RIVERVIEW, FL
    ZIP 33569
  • Facility Phone: 813 553-3330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAMJEET AHLUWALIA
  • NPI Number: 1376009605
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2166668
LAB Type Physician Office
Facility Name INCARE LLC
Street 11922 BOYETTE ROAD
City RIVERVIEW
State FL
ZIP 33569
Phone 813 553-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director PRAMJEET AHLUWALIA

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