10D2309858 CLIA NUMBER - EXPANDED HEALTH

Laboratory Demographics

  • CLIA Code: 10D2309858
  • Facility Name: EXPANDED HEALTH
  • Facility Address: 2927 PEARSON JAMES PLACE
    LUTZ, FL
    ZIP 33559
  • Facility Phone: 813 991-4744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA R. EVANS
  • NPI Number: 1306685003
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2309858
LAB Type Physician Office
Facility Name EXPANDED HEALTH
Street 2927 PEARSON JAMES PLACE
City LUTZ
State FL
ZIP 33559
Phone 813 991-4744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director ERICA R. EVANS

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This page was last updated on: 6/4/2025