10D0295177 CLIA NUMBER - WESTSIDE MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 10D0295177
  • Facility Name: WESTSIDE MEDICAL CARE
  • Facility Address: 2225 59TH ST W SUITE B
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 792-1412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVA S. LAUKHUF MD
  • NPI Number: 1730239583
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0295177
LAB Type Physician Office
Facility Name WESTSIDE MEDICAL CARE
Street 2225 59TH ST W SUITE B
City BRADENTON
State FL
ZIP 34209
Phone 941 792-1412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director EVA S. LAUKHUF MD

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