10D2326374 CLIA NUMBER - DOCTORS GOODWILL FOUNDATION, INC

Laboratory Demographics

  • CLIA Code: 10D2326374
  • Facility Name: DOCTORS GOODWILL FOUNDATION, INC
  • Facility Address: 16594 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 321 298-5531
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KANTILAL BHALANI
  • NPI Number: 1124679436
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2326374
LAB Type Community Clinic
Facility Name DOCTORS GOODWILL FOUNDATION, INC
Street 16594 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33618
Phone 321 298-5531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Community Clinic
Lab Director KANTILAL BHALANI

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