10D2303979 CLIA NUMBER - PRIMARY CARE OF WESLEY CHAPEL, THE

Laboratory Demographics

  • CLIA Code: 10D2303979
  • Facility Name: PRIMARY CARE OF WESLEY CHAPEL, THE
  • Facility Address: 2935 PEARSON JAMES PLACE
    LUTZ, FL
    ZIP 33559
  • Facility Phone: 813 618-7789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHAHIDA CHOUDHRY
  • NPI Number: 1740054170
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2303979
LAB Type Physician Office
Facility Name PRIMARY CARE OF WESLEY CHAPEL, THE
Street 2935 PEARSON JAMES PLACE
City LUTZ
State FL
ZIP 33559
Phone 813 618-7789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director DR. SHAHIDA CHOUDHRY

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