10D2271054 CLIA NUMBER - TAMPA FAMILY HEALTH CENTERS INC

Laboratory Demographics

CLIA Number: 10D2271054

Facility Name: TAMPA FAMILY HEALTH CENTERS INC

Facility Address:
2727 W DR MARTIN LUTHER KING JR BLVD SUITE # 100
TAMPA, FL
ZIP 33607
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Facility Phone Number: 813 955-1501

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1184391203

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2271054
LAB Type	Federally Qualified Health Center
Facility Name	TAMPA FAMILY HEALTH CENTERS INC
Street	2727 W DR MARTIN LUTHER KING JR BLVD SUITE # 100
City	TAMPA
State	FL
ZIP	33607
Phone	813 955-1501
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

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