10D2210950 CLIA NUMBER - BENAIAH HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 10D2210950
  • Facility Name: BENAIAH HEALTHCARE LLC
  • Facility Address: 5896 E FOWLER AVE
    TEMPLE TERRACE, FL
    ZIP 33617
  • Facility Phone: 813 251-5300
  • Facility Type: Other - NURSE REGISTRY
  • Facility Type: Waiver
  • Lab Director: FOLAKE O. BAMIGBADE
  • NPI Number: 1740916287
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2210950
LAB Type Other - NURSE REGISTRY
Facility Name BENAIAH HEALTHCARE LLC
Street 5896 E FOWLER AVE
City TEMPLE TERRACE
State FL
ZIP 33617
Phone 813 251-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Other - NURSE REGISTRY
Lab Director FOLAKE O. BAMIGBADE

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