10D2209334 CLIA NUMBER - VISTACARE PHARMACY I

Laboratory Demographics

  • CLIA Code: 10D2209334
  • Facility Name: VISTACARE PHARMACY I
  • Facility Address: 1441 E FLETCHER AVE STE 113
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 444-4410
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: RONIE SCHMIDT
  • NPI Number: 1245622117
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2209334
LAB Type Mobile Laboratory
Facility Name VISTACARE PHARMACY I
Street 1441 E FLETCHER AVE STE 113
City TAMPA
State FL
ZIP 33612
Phone 813 444-4410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Mobile Laboratory
Lab Director RONIE SCHMIDT

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