10D2201242 CLIA NUMBER - UPPER LINE HEALTHCARE PC

Laboratory Demographics

  • CLIA Code: 10D2201242
  • Facility Name: UPPER LINE HEALTHCARE PC
  • Facility Address: 2835 WEST DELEON STREET SUITE 101
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 615 795-3626
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SU XU
  • NPI Number: 1326640608
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2201242
LAB Type Physician Office
Facility Name UPPER LINE HEALTHCARE PC
Street 2835 WEST DELEON STREET SUITE 101
City TAMPA
State FL
ZIP 33609
Phone 615 795-3626
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director SU XU

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