10D2326557 CLIA NUMBER - THE PERFORMANCE LAB LLC

Laboratory Demographics

  • CLIA Code: 10D2326557
  • Facility Name: THE PERFORMANCE LAB LLC
  • Facility Address: 6920 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 561 301-6239
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. LORENZ
  • NPI Number: 1356166391
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2326557
LAB Type Ancillary Testing Site in Health Care Center
Facility Name THE PERFORMANCE LAB LLC
Street 6920 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33614
Phone 561 301-6239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MIGUEL A. LORENZ

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