10D2198398 CLIA NUMBER - AZ MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2198398
  • Facility Name: AZ MEDICAL CENTER LLC
  • Facility Address: 3911 W WATERS AVE - STE 13
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 600-3118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR SILVA
  • NPI Number: 1912548355
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2198398
LAB Type Physician Office
Facility Name AZ MEDICAL CENTER LLC
Street 3911 W WATERS AVE - STE 13
City TAMPA
State FL
ZIP 33614
Phone 813 600-3118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director VICTOR SILVA

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