10D2300350 CLIA NUMBER - TAMPA BAY MEDICAL RESEARCH, INC

Laboratory Demographics

  • CLIA Code: 10D2300350
  • Facility Name: TAMPA BAY MEDICAL RESEARCH, INC
  • Facility Address: 8839 BRYAN DAIRY RD - STE 215
    LARGO, FL
    ZIP 33777
  • Facility Phone: 727 724-3316
  • Facility Type: Other - RESEARCH SITE
  • Facility Type: Waiver
  • Lab Director: SUREKA BOLLEPALLI
  • NPI Number: 1063417285
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2300350
LAB Type Other - RESEARCH SITE
Facility Name TAMPA BAY MEDICAL RESEARCH, INC
Street 8839 BRYAN DAIRY RD - STE 215
City LARGO
State FL
ZIP 33777
Phone 727 724-3316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Other - RESEARCH SITE
Lab Director SUREKA BOLLEPALLI

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