10D0924644 CLIA NUMBER - SOUTHEAST FAMILY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0924644
  • Facility Name: SOUTHEAST FAMILY HEALTHCARE CENTER
  • Facility Address: 919 53RD AVE E
    BRADENTON, FL
    ZIP 34203
  • Facility Phone: 941 960-9907
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MONICA RIDER
  • NPI Number: 1295769362
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D0924644
LAB Type Community Clinic
Facility Name SOUTHEAST FAMILY HEALTHCARE CENTER
Street 919 53RD AVE E
City BRADENTON
State FL
ZIP 34203
Phone 941 960-9907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Community Clinic
Lab Director DR. MONICA RIDER

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