10D1063847 CLIA NUMBER - BRADENTON RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 10D1063847
  • Facility Name: BRADENTON RESEARCH CENTER
  • Facility Address: 3924 9TH AVE W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 708-0005
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CAROLYN B. MCELVEEN
  • NPI Number: 1164418182
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1063847
LAB Type Other
Facility Name BRADENTON RESEARCH CENTER
Street 3924 9TH AVE W
City BRADENTON
State FL
ZIP 34205
Phone 941 708-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Other
Lab Director CAROLYN B. MCELVEEN

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