10D1084032 CLIA NUMBER - BRADENTON SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 10D1084032
  • Facility Name: BRADENTON SURGERY CENTER INC
  • Facility Address: 2902 59TH ST W SUITES F & G
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 792-9685
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CARLOS MONTERO
  • NPI Number: 1508822685
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1084032
LAB Type Ambulatory Surgery Center
Facility Name BRADENTON SURGERY CENTER INC
Street 2902 59TH ST W SUITES F & G
City BRADENTON
State FL
ZIP 34209
Phone 941 792-9685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Ambulatory Surgery Center
Lab Director CARLOS MONTERO

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