10D2213728 CLIA NUMBER - EXTRA CARE PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 10D2213728
  • Facility Name: EXTRA CARE PHARMACY, INC
  • Facility Address: 2001 EAST FLETCHER AVENUE, SUITE 101
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 558-9300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STELLA CHINWUBAH
  • NPI Number: 1144265380
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2213728
LAB Type Pharmacy
Facility Name EXTRA CARE PHARMACY, INC
Street 2001 EAST FLETCHER AVENUE, SUITE 101
City TAMPA
State FL
ZIP 33612
Phone 813 558-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Pharmacy
Lab Director STELLA CHINWUBAH

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