10D0999479 CLIA NUMBER - BRADENTON VA CBOC

Laboratory Demographics

  • CLIA Code: 10D0999479
  • Facility Name: BRADENTON VA CBOC
  • Facility Address: 5520 SR 64, SUITE 101, MORGAN JOHNSON OFFICE PARK
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: (941) 721-0649
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: AML GIRGIS
  • NPI Number: 1053820209
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0999479
LAB Type Community Clinic
Facility Name BRADENTON VA CBOC
Street 5520 SR 64, SUITE 101, MORGAN JOHNSON OFFICE PARK
City BRADENTON
State FL
ZIP 34208
Phone 9417210649
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/14/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director AML GIRGIS

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This page was last updated on: 5/18/2026