10D2299362 CLIA NUMBER - MACDILL SABAL PARK CLINIC

Laboratory Demographics

  • CLIA Code: 10D2299362
  • Facility Name: MACDILL SABAL PARK CLINIC
  • Facility Address: 9208 KING PALM DR
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 972-2000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: STEPHEN MASTORIDES
  • NPI Number: 1154420891
  • Taxonomy: 332000000X - Military/U.S. Coast Guard Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2299362
LAB Type Community Clinic
Facility Name MACDILL SABAL PARK CLINIC
Street 9208 KING PALM DR
City TAMPA
State FL
ZIP 33619
Phone 813 972-2000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director STEPHEN MASTORIDES

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