10D1061223 CLIA NUMBER - HEART ATTACK PREVENTION CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1061223
  • Facility Name: HEART ATTACK PREVENTION CENTER LLC
  • Facility Address: 4900 MANATEE AVE W STE 201
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 773-0244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN K. LOURIE
  • NPI Number: 1730489105
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1061223
LAB Type Physician Office
Facility Name HEART ATTACK PREVENTION CENTER LLC
Street 4900 MANATEE AVE W STE 201
City BRADENTON
State FL
ZIP 34209
Phone 941 773-0244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director JOHN K. LOURIE

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