10D2229255 CLIA NUMBER - KOTILA CHIROPRACTIC INC

Laboratory Demographics

  • CLIA Code: 10D2229255
  • Facility Name: KOTILA CHIROPRACTIC INC
  • Facility Address: 1367 OAKFIELD DR
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 643-1242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY J. KOTILA
  • NPI Number: 1679874606
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2229255
LAB Type Physician Office
Facility Name KOTILA CHIROPRACTIC INC
Street 1367 OAKFIELD DR
City BRANDON
State FL
ZIP 33511
Phone 813 643-1242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director GARY J. KOTILA

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