10D2314495 CLIA NUMBER - VANTAGE CLINICAL TRIALS, LLC

Laboratory Demographics

  • CLIA Code: 10D2314495
  • Facility Name: VANTAGE CLINICAL TRIALS, LLC
  • Facility Address: 4730 N HABANA AVE - SUITE 300
    TAMPA, FL
    ZIP 33614
  • Facility Phone: (813) 549-5262
  • Facility Type: Other - RESEARCH FACILITY
  • Facility Type: Waiver
  • Lab Director: CARLOS BUSSEY
  • NPI Number: 1003603671
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2314495
LAB Type Other - RESEARCH FACILITY
Facility Name VANTAGE CLINICAL TRIALS, LLC
Street 4730 N HABANA AVE - SUITE 300
City TAMPA
State FL
ZIP 33614
Phone 8135495262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other - RESEARCH FACILITY
Lab Director CARLOS BUSSEY

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This page was last updated on: 5/18/2026