10D2206449 CLIA NUMBER - COMPASSION PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 10D2206449
  • Facility Name: COMPASSION PRIMARY CARE, LLC
  • Facility Address: 10150 HIGHLAND MANOR DR - STE 200
    TAMPA, FL
    ZIP 33610
  • Facility Phone: 813 669-3084
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STASHA GAE A. ROBERTS
  • NPI Number: 1487535662
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 10D2206449
LAB Type Practitioner Other
Facility Name COMPASSION PRIMARY CARE, LLC
Street 10150 HIGHLAND MANOR DR - STE 200
City TAMPA
State FL
ZIP 33610
Phone 813 669-3084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Practitioner Other
Lab Director STASHA GAE A. ROBERTS

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