10D2328679 CLIA NUMBER - IMAGINE PEDIATRICS OF FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2328679
  • Facility Name: IMAGINE PEDIATRICS OF FLORIDA LLC
  • Facility Address: 3109 W MARTIN LUTHER KING JR BLVD, SUITE 350
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 833 208-7770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA HAYES
  • NPI Number: 1982335436
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2328679
LAB Type Physician Office
Facility Name IMAGINE PEDIATRICS OF FLORIDA LLC
Street 3109 W MARTIN LUTHER KING JR BLVD, SUITE 350
City TAMPA
State FL
ZIP 33607
Phone 833 208-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director PATRICIA HAYES

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