10D2323297 CLIA NUMBER - TPA MOBILE LABS LLC

Laboratory Demographics

  • CLIA Code: 10D2323297
  • Facility Name: TPA MOBILE LABS LLC
  • Facility Address: 19046 BRUCE B DOWNS BLVD STE B6 #900
    TAMPA, FL
    ZIP 33647
  • Facility Phone: 813 360-1407
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: EMILY A. FOWLER
  • NPI Number: 1083412290
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2323297
LAB Type Mobile Laboratory
Facility Name TPA MOBILE LABS LLC
Street 19046 BRUCE B DOWNS BLVD STE B6 #900
City TAMPA
State FL
ZIP 33647
Phone 813 360-1407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Mobile Laboratory
Lab Director EMILY A. FOWLER

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