10D0856862 CLIA NUMBER - BRUCE M BRIDEWELL MD PA

Laboratory Demographics

  • CLIA Code: 10D0856862
  • Facility Name: BRUCE M BRIDEWELL MD PA
  • Facility Address: 10201 ARCOS AVE #201
    ESTERO, FL
    ZIP 33928
  • Facility Phone: 239 992-7822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE M. BRIDEWELL
  • NPI Number: 1144293044
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0856862
LAB Type Physician Office
Facility Name BRUCE M BRIDEWELL MD PA
Street 10201 ARCOS AVE #201
City ESTERO
State FL
ZIP 33928
Phone 239 992-7822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director BRUCE M. BRIDEWELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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