10D0294956 CLIA NUMBER - BRADENTON DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 10D0294956
  • Facility Name: BRADENTON DERMATOLOGY PA
  • Facility Address: 2919 26TH ST W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 755-2255
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JACK JAWITZ
  • NPI Number: 1295783967
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D0294956
LAB Type Physician Office
Facility Name BRADENTON DERMATOLOGY PA
Street 2919 26TH ST W
City BRADENTON
State FL
ZIP 34205
Phone 941 755-2255
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director DR. JACK JAWITZ

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This page was last updated on: 6/4/2025