10D0699538 CLIA NUMBER - CONCENTRA - BARTOW

Laboratory Demographics

  • CLIA Code: 10D0699538
  • Facility Name: CONCENTRA - BARTOW
  • Facility Address: 1750 N BROADWAY
    BARTOW, FL
    ZIP 33830
  • Facility Phone: 863 533-2030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE AGATEP
  • NPI Number: 1609353598
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0699538
LAB Type Physician Office
Facility Name CONCENTRA - BARTOW
Street 1750 N BROADWAY
City BARTOW
State FL
ZIP 33830
Phone 863 533-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director DENISE AGATEP

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