10D2262690 CLIA NUMBER - MEDWAY RX LLC

Laboratory Demographics

  • CLIA Code: 10D2262690
  • Facility Name: MEDWAY RX LLC
  • Facility Address: 3010 E 138TH AVE, STE 102
    TAMPA, FL
    ZIP 33613
  • Facility Phone: 813 825-0100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GAGAN R. PATEL
  • NPI Number: 1235709734
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2262690
LAB Type Pharmacy
Facility Name MEDWAY RX LLC
Street 3010 E 138TH AVE, STE 102
City TAMPA
State FL
ZIP 33613
Phone 813 825-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Pharmacy
Lab Director GAGAN R. PATEL

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