10D2169445 CLIA NUMBER - CLINICA HISPANA

Laboratory Demographics

  • CLIA Code: 10D2169445
  • Facility Name: CLINICA HISPANA
  • Facility Address: 11550 TAMIAMI TRAIL EAST
    NAPLES, FL
    ZIP 34113
  • Facility Phone: 239 529-3045
  • Facility Type: Other - HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: TABARE TABAR
  • NPI Number: 1124450077
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2169445
LAB Type Other - HEALTH CLINIC
Facility Name CLINICA HISPANA
Street 11550 TAMIAMI TRAIL EAST
City NAPLES
State FL
ZIP 34113
Phone 239 529-3045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Other - HEALTH CLINIC
Lab Director TABARE TABAR

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