10D2276769 CLIA NUMBER - FLORIDA MEDICAL ASSOCIATES, LLC DBA SALUDVIP

Laboratory Demographics

CLIA Number: 10D2276769

Facility Name: FLORIDA MEDICAL ASSOCIATES, LLC DBA SALUDVIP

Facility Address:
5111 N ARMENIA AVE
TAMPA, FL
ZIP 33603
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Facility Phone Number: 813 450-4609

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750059986

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2276769
LAB Type	Physician Office
Facility Name	FLORIDA MEDICAL ASSOCIATES, LLC DBA SALUDVIP
Street	5111 N ARMENIA AVE
City	TAMPA
State	FL
ZIP	33603
Phone	813 450-4609
CertificateType	4
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	Waiver

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