10D2289974 CLIA NUMBER - AZIMUTH HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2289974
  • Facility Name: AZIMUTH HEALTH, LLC
  • Facility Address: 4204 W LINEBAUGH AVE
    TAMPA, FL
    ZIP 33624
  • Facility Phone: 813 940-8855
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: DUELLYN PANDIS
  • NPI Number: 1306450085
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2289974
LAB Type Health Fair
Facility Name AZIMUTH HEALTH, LLC
Street 4204 W LINEBAUGH AVE
City TAMPA
State FL
ZIP 33624
Phone 813 940-8855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Health Fair
Lab Director DUELLYN PANDIS

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