10D2172646 CLIA NUMBER - IBIS HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 10D2172646
  • Facility Name: IBIS HEALTHCARE, INC
  • Facility Address: 5705 N 22ND ST
    TAMPA, FL
    ZIP 33610
  • Facility Phone: 813 272-2244
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: ROAYA TYSON
  • NPI Number: 1215367263
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2172646
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name IBIS HEALTHCARE, INC
Street 5705 N 22ND ST
City TAMPA
State FL
ZIP 33610
Phone 813 272-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director ROAYA TYSON

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