10D1024630 CLIA NUMBER - JORGE L HERNANDEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D1024630
  • Facility Name: JORGE L HERNANDEZ MD PA
  • Facility Address: 250 2ND ST EAST STE 3D
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: 941 746-4151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE L. HERNANDEZ MD
  • NPI Number: 1932192325
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1024630
LAB Type Physician Office
Facility Name JORGE L HERNANDEZ MD PA
Street 250 2ND ST EAST STE 3D
City BRADENTON
State FL
ZIP 34208
Phone 941 746-4151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director JORGE L. HERNANDEZ MD

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