10D2026521 CLIA NUMBER - MANATEE DIAGNOSTIC CENTER POINTE WEST

Laboratory Demographics

  • CLIA Code: 10D2026521
  • Facility Name: MANATEE DIAGNOSTIC CENTER POINTE WEST
  • Facility Address: 2301 60TH ST CT W STE C
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 747-3034
  • Facility Type: Other - INDEPENDENT DIAGNOSTIC
  • Facility Type: Waiver
  • Lab Director: BRET HENRICKS
  • NPI Number: 1891064721
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2026521
LAB Type Other - INDEPENDENT DIAGNOSTIC
Facility Name MANATEE DIAGNOSTIC CENTER POINTE WEST
Street 2301 60TH ST CT W STE C
City BRADENTON
State FL
ZIP 34209
Phone 941 747-3034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Other - INDEPENDENT DIAGNOSTIC
Lab Director BRET HENRICKS

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