10D0294980 CLIA NUMBER - MANATEE COUNTY RURAL HEALTH SERVICES INC D/B/A WEST MANATEE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 10D0294980
  • Facility Name: MANATEE COUNTY RURAL HEALTH SERVICES INC D/B/A WEST MANATEE HEALTH CENTER
  • Facility Address: 2318 MANATEE AVE W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 960-9907
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. MONICA RIDER
  • NPI Number: 1730115882
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0294980
LAB Type Federally Qualified Health Center
Facility Name MANATEE COUNTY RURAL HEALTH SERVICES INC D/B/A WEST MANATEE HEALTH CENTER
Street 2318 MANATEE AVE W
City BRADENTON
State FL
ZIP 34205
Phone 941 960-9907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Federally Qualified Health Center
Lab Director DR. MONICA RIDER

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