10D2213570 CLIA NUMBER - YOUR CHOICE PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2213570
  • Facility Name: YOUR CHOICE PHARMACY
  • Facility Address: 4644 WEST GANDY BLVD, UNIT #4,
    TAMPA, FL
    ZIP 33611
  • Facility Phone: 813 605-0055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHANDRAKANTBHAI SHAH CHETANBHAI
  • NPI Number: 1104271873
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2213570
LAB Type Pharmacy
Facility Name YOUR CHOICE PHARMACY
Street 4644 WEST GANDY BLVD, UNIT #4,
City TAMPA
State FL
ZIP 33611
Phone 813 605-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Pharmacy
Lab Director CHANDRAKANTBHAI SHAH CHETANBHAI

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