10D2224919 CLIA NUMBER - NEW TAMPA HEALTH, INC

Laboratory Demographics

CLIA Number: 10D2224919

Facility Name: NEW TAMPA HEALTH, INC

Facility Address:
500 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33603
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Facility Phone Number: 813 440-6355

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215536552

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2224919
LAB Type	Physician Office
Facility Name	NEW TAMPA HEALTH, INC
Street	500 W DR MARTIN LUTHER KING JR BLVD
City	TAMPA
State	FL
ZIP	33603
Phone	813 440-6355
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024