10D2309453 CLIA NUMBER - TOWER IMAGING, LLC

Laboratory Demographics

  • CLIA Code: 10D2309453
  • Facility Name: TOWER IMAGING, LLC
  • Facility Address: 19027 WINGSHOOTER WAY
    LUTZ, FL
    ZIP 33558
  • Facility Phone: 813 253-2721
  • Facility Type: Other - OP IMAGING
  • Facility Type: Waiver
  • Lab Director: DENISE FONTES
  • NPI Number: 1144834763
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2309453
LAB Type Other - OP IMAGING
Facility Name TOWER IMAGING, LLC
Street 19027 WINGSHOOTER WAY
City LUTZ
State FL
ZIP 33558
Phone 813 253-2721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Other - OP IMAGING
Lab Director DENISE FONTES

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