10D2248352 CLIA NUMBER - TOWER IMAGING LLC

Laboratory Demographics

  • CLIA Code: 10D2248352
  • Facility Name: TOWER IMAGING LLC
  • Facility Address: 2115 LITTLE RD
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 847-5122
  • Facility Type: Other - OUT PATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: DIANE CASE
  • NPI Number: 1194379743
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2248352
LAB Type Other - OUT PATIENT IMAGING
Facility Name TOWER IMAGING LLC
Street 2115 LITTLE RD
City TRINITY
State FL
ZIP 34655
Phone 727 847-5122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Other - OUT PATIENT IMAGING
Lab Director DIANE CASE

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This page was last updated on: 6/4/2025