10D2178770 CLIA NUMBER - OHI WEST MEDICAL GROUP II LLC

Laboratory Demographics

  • CLIA Code: 10D2178770
  • Facility Name: OHI WEST MEDICAL GROUP II LLC
  • Facility Address: 2241 GREEN HEDGES WAY - STE 101
    WESLEY CHAPEL, FL
    ZIP 33544
  • Facility Phone: 813 778-0231
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEVERLY DELIZ-TIRADO
  • NPI Number: 1609323732
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2178770
LAB Type Physician Office
Facility Name OHI WEST MEDICAL GROUP II LLC
Street 2241 GREEN HEDGES WAY - STE 101
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 813 778-0231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director BEVERLY DELIZ-TIRADO

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