10D2188507 CLIA NUMBER - EL SOL MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 10D2188507

Facility Name: EL SOL MEDICAL CENTER INC

Facility Address:
2511 W VIRGINIA AVE
TAMPA, FL
ZIP 33607
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Facility Phone Number: 812 515-6676

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154936904

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2188507
LAB Type	Physician Office
Facility Name	EL SOL MEDICAL CENTER INC
Street	2511 W VIRGINIA AVE
City	TAMPA
State	FL
ZIP	33607
Phone	812 515-6676
CertificateType	4
CertificateEffectiveDate	7/17/2022
CertificateExpirationDate	7/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024