10D2302396 CLIA NUMBER - CITYBLOCK MEDICAL PRACTICE PA

Laboratory Demographics

  • CLIA Code: 10D2302396
  • Facility Name: CITYBLOCK MEDICAL PRACTICE PA
  • Facility Address: 15416 N FLORIDA AVE - STE 203
    TAMPA, FL
    ZIP 33613
  • Facility Phone: 833 904-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAISEL SYED
  • NPI Number: 1255108353
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2302396
LAB Type Physician Office
Facility Name CITYBLOCK MEDICAL PRACTICE PA
Street 15416 N FLORIDA AVE - STE 203
City TAMPA
State FL
ZIP 33613
Phone 833 904-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director FAISEL SYED

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