10D0872406 CLIA NUMBER - WEST FLORIDA SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 10D0872406
  • Facility Name: WEST FLORIDA SURGERY CENTER INC
  • Facility Address: 5817 21ST AVE W
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 794-0379
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRUCE TROTMAN
  • NPI Number: 1508879446
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0872406
LAB Type Ambulatory Surgery Center
Facility Name WEST FLORIDA SURGERY CENTER INC
Street 5817 21ST AVE W
City BRADENTON
State FL
ZIP 34209
Phone 941 794-0379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Ambulatory Surgery Center
Lab Director BRUCE TROTMAN

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