10D2257070 CLIA NUMBER - ZSR HEALTHCARE SERVICES LLC

Laboratory Demographics

CLIA Number: 10D2257070

Facility Name: ZSR HEALTHCARE SERVICES LLC

Facility Address:
5401 W KENNEDY BLVD STE 100 MAILBOX 138
TAMPA, FL
ZIP 33609
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Facility Phone Number: 813 323-1959

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326749409

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2257070
LAB Type	Physician Office
Facility Name	ZSR HEALTHCARE SERVICES LLC
Street	5401 W KENNEDY BLVD STE 100 MAILBOX 138
City	TAMPA
State	FL
ZIP	33609
Phone	813 323-1959
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024