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

Laboratory Demographics

CLIA Number: 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
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Facility Phone Number: 941 960-9907

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1730115882

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType 4
CertificateEffectiveDate 7/10/2023
CertificateExpirationDate 7/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024