10D2176330 CLIA NUMBER - BRANDON MEDICAL CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2176330
  • Facility Name: BRANDON MEDICAL CARE LLC
  • Facility Address: 143 N OAKWOOD AVE
    BRANDON, FL
    ZIP 33510
  • Facility Phone: (813) 734-8939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHITAL METHA
  • NPI Number: 1548818073
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2176330
LAB Type Physician Office
Facility Name BRANDON MEDICAL CARE LLC
Street 143 N OAKWOOD AVE
City BRANDON
State FL
ZIP 33510
Phone 8137348939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2025
Certificate Expiration Date 12/11/2027
Facility Type Physician Office
Lab Director SHITAL METHA

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This page was last updated on: 5/18/2026