10D2205838 CLIA NUMBER - GUIDEWELL EMERGENCY MEDICINE DOCTORS LLC #35

Laboratory Demographics

CLIA Number: 10D2205838

Facility Name: GUIDEWELL EMERGENCY MEDICINE DOCTORS LLC #35

Facility Address:
4748 N DALE MABRY HWY
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 576-0099

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1740668482

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D2205838
LAB Type Physician Office
Facility Name GUIDEWELL EMERGENCY MEDICINE DOCTORS LLC #35
Street 4748 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33614
Phone 813 576-0099
CertificateType 1
CertificateEffectiveDate 5/18/2022
CertificateExpirationDate 5/17/2024
FacilityType Accreditation

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