10D0860345 CLIA NUMBER - DOCTORS CENTER, INC, THE

Laboratory Demographics

CLIA Number: 10D0860345

Facility Name: DOCTORS CENTER, INC, THE

Facility Address:
712 53RD AVE E
BRADENTON, FL
ZIP 34203
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Facility Phone Number: 207 593-6392

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831543982

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0860345
LAB Type	Physician Office
Facility Name	DOCTORS CENTER, INC, THE
Street	712 53RD AVE E
City	BRADENTON
State	FL
ZIP	34203
Phone	207 593-6392
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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