10D1100243 CLIA NUMBER - DR GEORGE VAN BUREN CHILDREN AND FAMILY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 10D1100243
  • Facility Name: DR GEORGE VAN BUREN CHILDREN AND FAMILY HEALTHCARE CENTER
  • Facility Address: 712 39TH ST W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 960-9907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MONICA RIDER
  • NPI Number: 1871523795
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1100243
LAB Type Physician Office
Facility Name DR GEORGE VAN BUREN CHILDREN AND FAMILY HEALTHCARE CENTER
Street 712 39TH ST W
City BRADENTON
State FL
ZIP 34205
Phone 941 960-9907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DR. MONICA RIDER

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