10D2318186 CLIA NUMBER - MIDWAY SPECIALTY CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2318186
  • Facility Name: MIDWAY SPECIALTY CARE CENTER INC
  • Facility Address: 3321 W GANDY BLVD
    TAMPA, FL
    ZIP 33611
  • Facility Phone: 772 464-9746
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOTI RAMGOPAL
  • NPI Number: 1689319709
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2318186
LAB Type Physician Office
Facility Name MIDWAY SPECIALTY CARE CENTER INC
Street 3321 W GANDY BLVD
City TAMPA
State FL
ZIP 33611
Phone 772 464-9746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director MOTI RAMGOPAL

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