10D0955540 CLIA NUMBER - AMA HEALTH - GULF COAST PEDIATRICS

Laboratory Demographics

CLIA Number: 10D0955540

Facility Name: AMA HEALTH - GULF COAST PEDIATRICS

Facility Address:
5305 STATE RD 64 E
BRADENTON, FL
ZIP 34208
Get Directions

Facility Phone Number: 941 465-4540

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1326600487

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0955540
LAB Type	Federally Qualified Health Center
Facility Name	AMA HEALTH - GULF COAST PEDIATRICS
Street	5305 STATE RD 64 E
City	BRADENTON
State	FL
ZIP	34208
Phone	941 465-4540
CertificateType	4
CertificateEffectiveDate	1/4/2023
CertificateExpirationDate	1/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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