10D2217072 CLIA NUMBER - TCL MEDICAL INC

Laboratory Demographics

  • CLIA Code: 10D2217072
  • Facility Name: TCL MEDICAL INC
  • Facility Address: 6613 49TH ST N
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 490-8670
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ISLAM GANIE
  • NPI Number: 1093398802
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2217072
LAB Type Practitioner Other
Facility Name TCL MEDICAL INC
Street 6613 49TH ST N
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 490-8670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Practitioner Other
Lab Director ISLAM GANIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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