10D2013183 CLIA NUMBER - WALGREENS #03963

Laboratory Demographics

  • CLIA Code: 10D2013183
  • Facility Name: WALGREENS #03963
  • Facility Address: 6003 14TH ST W
    BRADENTON, FL
    ZIP 34207
  • Facility Phone: 941 755-8526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY T. FELDMANN
  • NPI Number: 1942215124
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013183
LAB Type Pharmacy
Facility Name WALGREENS #03963
Street 6003 14TH ST W
City BRADENTON
State FL
ZIP 34207
Phone 941 755-8526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director ZACHARY T. FELDMANN

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