10D0665703 CLIA NUMBER - FI-CASA MORA, LLC DBA CASA MORA REHABILITATION AND EXTENDED CARE

Laboratory Demographics

  • CLIA Code: 10D0665703
  • Facility Name: FI-CASA MORA, LLC DBA CASA MORA REHABILITATION AND EXTENDED CARE
  • Facility Address: 1902 59TH STREET WEST
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 761-1000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WERTHER R. MARCIALES
  • NPI Number: 1942204607
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0665703
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FI-CASA MORA, LLC DBA CASA MORA REHABILITATION AND EXTENDED CARE
Street 1902 59TH STREET WEST
City BRADENTON
State FL
ZIP 34209
Phone 941 761-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WERTHER R. MARCIALES

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