10D1084039 CLIA NUMBER - CARLA D CHAPMAN MD LLC

Laboratory Demographics

CLIA Number: 10D1084039

Facility Name: CARLA D CHAPMAN MD LLC

Facility Address:
2001 MANATEE AVE E STE 102
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 941 747-2001

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417911215

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D1084039
LAB Type	Physician Office
Facility Name	CARLA D CHAPMAN MD LLC
Street	2001 MANATEE AVE E STE 102
City	BRADENTON
State	FL
ZIP	34208
Phone	941 747-2001
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024