10D2200897 CLIA NUMBER - PHOENIX PROGRAMS OF FLORIDA INC

Laboratory Demographics

  • CLIA Code: 10D2200897
  • Facility Name: PHOENIX PROGRAMS OF FLORIDA INC
  • Facility Address: 15681 N US HWY 301
    CITRA, FL
    ZIP 32113
  • Facility Phone: 813 881-1000
  • Facility Type: Other - RESIDENTIAL SUBSTANCE USE
  • Facility Type: Waiver
  • Lab Director: BABU RANKUPALLI
  • NPI Number: 1962542423
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2200897
LAB Type Other - RESIDENTIAL SUBSTANCE USE
Facility Name PHOENIX PROGRAMS OF FLORIDA INC
Street 15681 N US HWY 301
City CITRA
State FL
ZIP 32113
Phone 813 881-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Other - RESIDENTIAL SUBSTANCE USE
Lab Director BABU RANKUPALLI

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