10D2264870 CLIA NUMBER - MEMON HEALTH ASSOCIATES, LLC

Laboratory Demographics

CLIA Number: 10D2264870

Facility Name: MEMON HEALTH ASSOCIATES, LLC

Facility Address:
1236 KINGSWAY ROAD
BRANDON, FL
ZIP 33510
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Facility Phone Number: 813 616-8810

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1891164398

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2264870
LAB Type	Other - URGENT CARE
Facility Name	MEMON HEALTH ASSOCIATES, LLC
Street	1236 KINGSWAY ROAD
City	BRANDON
State	FL
ZIP	33510
Phone	813 616-8810
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

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