10D2240985 CLIA NUMBER - LOGOS PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2240985
  • Facility Name: LOGOS PHARMACY
  • Facility Address: 7543 W WATERS AVE
    TAMPA, FL
    ZIP 33615
  • Facility Phone: 813 886-2822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAFAAT HABIB
  • NPI Number: 1659767515
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2240985
LAB Type Pharmacy
Facility Name LOGOS PHARMACY
Street 7543 W WATERS AVE
City TAMPA
State FL
ZIP 33615
Phone 813 886-2822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director RAFAAT HABIB

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