10D2208160 CLIA NUMBER - SQ2 PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2208160
  • Facility Name: SQ2 PRIMARY CARE
  • Facility Address: 13172 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 374-8981
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QILIN LU
  • NPI Number: 1427659002
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2208160
LAB Type Physician Office
Facility Name SQ2 PRIMARY CARE
Street 13172 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33618
Phone 813 374-8981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director QILIN LU

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