10D0677740 CLIA NUMBER - BRADFORD COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 10D0677740

Facility Name: BRADFORD COUNTY HEALTH DEPARTMENT

Facility Address:
1801 N TEMPLE AVE
STARKE, FL
ZIP 32091
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Facility Phone Number: 904 964-7732

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1932174240

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name Field Value
CLIA Number 10D0677740
LAB Type Public Health Laboratories
Facility Name BRADFORD COUNTY HEALTH DEPARTMENT
Street 1801 N TEMPLE AVE
City STARKE
State FL
ZIP 32091
Phone 904 964-7732
CertificateType 3
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType PPMP

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