10D0295091 CLIA NUMBER - CENTERSTONE OF FLORIDA

Laboratory Demographics

CLIA Number: 10D0295091

Facility Name: CENTERSTONE OF FLORIDA

Facility Address:
2020 26TH AVE E
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 941 782-4712

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1144251638

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0295091
LAB Type	Hospital
Facility Name	CENTERSTONE OF FLORIDA
Street	2020 26TH AVE E
City	BRADENTON
State	FL
ZIP	34208
Phone	941 782-4712
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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