10D2202039 CLIA NUMBER - LIFEFLEET SOUTHEAST INC

Laboratory Demographics

  • CLIA Code: 10D2202039
  • Facility Name: LIFEFLEET SOUTHEAST INC
  • Facility Address: 4351 OAK FAIR BLVD
    TAMPA, FL
    ZIP 33610
  • Facility Phone: 850 983-3000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOE P. NELSON
  • NPI Number: 1598715716
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 10D2202039
LAB Type Ambulance
Facility Name LIFEFLEET SOUTHEAST INC
Street 4351 OAK FAIR BLVD
City TAMPA
State FL
ZIP 33610
Phone 850 983-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Ambulance
Lab Director JOE P. NELSON

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