10D2320956 CLIA NUMBER - PREVENTION 305 DBA PREVENTION 813

Laboratory Demographics

  • CLIA Code: 10D2320956
  • Facility Name: PREVENTION 305 DBA PREVENTION 813
  • Facility Address: 2508 W VIRGINIA AVE SUITE D
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 866 773-7305
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL DUNN
  • NPI Number: 1689447336
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2320956
LAB Type Community Clinic
Facility Name PREVENTION 305 DBA PREVENTION 813
Street 2508 W VIRGINIA AVE SUITE D
City TAMPA
State FL
ZIP 33607
Phone 866 773-7305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Community Clinic
Lab Director MICHAEL DUNN

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