10D2169740 CLIA NUMBER - CUMEDICA DOCTORS CENTER

Laboratory Demographics

  • CLIA Code: 10D2169740
  • Facility Name: CUMEDICA DOCTORS CENTER
  • Facility Address: 4618 N ARMENIA AVE
    TAMPA, FL
    ZIP 33603
  • Facility Phone: 813 443-9551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYRA LOPEZ
  • NPI Number: 1093378101
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2169740
LAB Type Physician Office
Facility Name CUMEDICA DOCTORS CENTER
Street 4618 N ARMENIA AVE
City TAMPA
State FL
ZIP 33603
Phone 813 443-9551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director MAYRA LOPEZ

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