10D2219454 CLIA NUMBER - LITTLE ANGEL'S EXPRESS INC

Laboratory Demographics

  • CLIA Code: 10D2219454
  • Facility Name: LITTLE ANGEL'S EXPRESS INC
  • Facility Address: 5226 WILLIAMS RD
    TAMPA, FL
    ZIP 33610
  • Facility Phone: 813 352-8824
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TANIKA S. JACKSON-RICHMOND
  • NPI Number: 1396496352
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2219454
LAB Type Mobile Laboratory
Facility Name LITTLE ANGEL'S EXPRESS INC
Street 5226 WILLIAMS RD
City TAMPA
State FL
ZIP 33610
Phone 813 352-8824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Mobile Laboratory
Lab Director TANIKA S. JACKSON-RICHMOND

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