10D2251814 CLIA NUMBER - JIMENEZ RODRIGUEZ GENERAL PRACTICE CORP

Laboratory Demographics

  • CLIA Code: 10D2251814
  • Facility Name: JIMENEZ RODRIGUEZ GENERAL PRACTICE CORP
  • Facility Address: 3709 W HAMILTON AVE - STE 5
    TAMPA, FL
    ZIP 33614
  • Facility Phone: (813) 727-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA I. JIMENEZ RODRIGUEZ
  • NPI Number: 1437640273
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2251814
LAB Type Physician Office
Facility Name JIMENEZ RODRIGUEZ GENERAL PRACTICE CORP
Street 3709 W HAMILTON AVE - STE 5
City TAMPA
State FL
ZIP 33614
Phone 8137273500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2026
Certificate Expiration Date 2/6/2028
Facility Type Physician Office
Lab Director MARIA I. JIMENEZ RODRIGUEZ

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This page was last updated on: 5/18/2026