10D2321004 CLIA NUMBER - GREGORY L HENDERSON, MD, FACS, INC

Laboratory Demographics

  • CLIA Code: 10D2321004
  • Facility Name: GREGORY L HENDERSON, MD, FACS, INC
  • Facility Address: 3115 W SWANN AVE
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 813 492-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHELSIE A. MCDOW
  • NPI Number: 1962400952
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2321004
LAB Type Physician Office
Facility Name GREGORY L HENDERSON, MD, FACS, INC
Street 3115 W SWANN AVE
City TAMPA
State FL
ZIP 33609
Phone 813 492-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director CHELSIE A. MCDOW

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