10D2176443 CLIA NUMBER - BAYCARE OUTPATIENT IMAGING

Laboratory Demographics

  • CLIA Code: 10D2176443
  • Facility Name: BAYCARE OUTPATIENT IMAGING
  • Facility Address: 3003 WEST DR MARTIN LUTHER KING JR BLVD
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 554-8176
  • Facility Type: Other - OUTPATIENT IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: PAUL SWARTZ
  • NPI Number: 1760821599
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2176443
LAB Type Other - OUTPATIENT IMAGING CENTER
Facility Name BAYCARE OUTPATIENT IMAGING
Street 3003 WEST DR MARTIN LUTHER KING JR BLVD
City TAMPA
State FL
ZIP 33607
Phone 813 554-8176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Other - OUTPATIENT IMAGING CENTER
Lab Director PAUL SWARTZ

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