10D2002753 CLIA NUMBER - BLEND INSTITUTE, THE

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Laboratory Demographics

CLIA Number: 10D2002753

Facility Name: BLEND INSTITUTE, THE

Facility Address:
8648 E STATE RD 70
BRADENTON, FL
ZIP 34202
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Facility Phone Number: 941 722-5600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730410010

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2002753
LAB Type	Physician Office
Facility Name	BLEND INSTITUTE, THE
Street	8648 E STATE RD 70
City	BRADENTON
State	FL
ZIP	34202
Phone	941 722-5600
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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