10D2251180 CLIA NUMBER - USF HEALTH MOHS SURGERY AT 17 DAVIS

Laboratory Demographics

  • CLIA Code: 10D2251180
  • Facility Name: USF HEALTH MOHS SURGERY AT 17 DAVIS
  • Facility Address: 17 DAVIS BLVD 4TH FLOOR STE 402
    TAMPA, FL
    ZIP 33606
  • Facility Phone: 813 821-8927
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LILIA CORREA SELM
  • NPI Number: 1619307667
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2251180
LAB Type Physician Office
Facility Name USF HEALTH MOHS SURGERY AT 17 DAVIS
Street 17 DAVIS BLVD 4TH FLOOR STE 402
City TAMPA
State FL
ZIP 33606
Phone 813 821-8927
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director LILIA CORREA SELM

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