10D2259177 CLIA NUMBER - WILLNATH MEDICAL PLLC DBA NYANDA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2259177
  • Facility Name: WILLNATH MEDICAL PLLC DBA NYANDA DERMATOLOGY
  • Facility Address: 26809 TANIC DR SUITE 101
    WESLEY CHAPEL, FL
    ZIP 33544
  • Facility Phone: 813 435-5199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL WANGIA
  • NPI Number: 1881349611
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2259177
LAB Type Physician Office
Facility Name WILLNATH MEDICAL PLLC DBA NYANDA DERMATOLOGY
Street 26809 TANIC DR SUITE 101
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 813 435-5199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director MICHAEL WANGIA

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