10D0926851 CLIA NUMBER - OB GYN WOMENS CENTER OF LAKEWOOD LLC

Laboratory Demographics

  • CLIA Code: 10D0926851
  • Facility Name: OB GYN WOMENS CENTER OF LAKEWOOD LLC
  • Facility Address: 8340 LAKEWOOD RANCH BLVD - STE 240
    BRADENTON, FL
    ZIP 34202
  • Facility Phone: 941 907-3008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE E. ALVAREZ
  • NPI Number: 1508870833
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0926851
LAB Type Physician Office
Facility Name OB GYN WOMENS CENTER OF LAKEWOOD LLC
Street 8340 LAKEWOOD RANCH BLVD - STE 240
City BRADENTON
State FL
ZIP 34202
Phone 941 907-3008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director JORGE E. ALVAREZ

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