10D2169344 CLIA NUMBER - TGMG FOREST ROAD LAB

Laboratory Demographics

  • CLIA Code: 10D2169344
  • Facility Name: TGMG FOREST ROAD LAB
  • Facility Address: 2703 FORREST ROAD
    SPRING HILL, FL
    ZIP 34606
  • Facility Phone: 813 394-1102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL BAEHR
  • NPI Number: 1568928331
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2169344
LAB Type Physician Office
Facility Name TGMG FOREST ROAD LAB
Street 2703 FORREST ROAD
City SPRING HILL
State FL
ZIP 34606
Phone 813 394-1102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director MICHAEL BAEHR

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