10D2315168 CLIA NUMBER - MP PRIMARY CARE SERVICES

Laboratory Demographics

  • CLIA Code: 10D2315168
  • Facility Name: MP PRIMARY CARE SERVICES
  • Facility Address: 1110 BELL SHOALS RD - STE 101
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 863 358-0500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEILA PUJOLS
  • NPI Number: 1609512656
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2315168
LAB Type Practitioner Other
Facility Name MP PRIMARY CARE SERVICES
Street 1110 BELL SHOALS RD - STE 101
City BRANDON
State FL
ZIP 33511
Phone 863 358-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Practitioner Other
Lab Director JEILA PUJOLS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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