10D2032792 CLIA NUMBER - ERVIN E BERNOTUS MD PA

Laboratory Demographics

  • CLIA Code: 10D2032792
  • Facility Name: ERVIN E BERNOTUS MD PA
  • Facility Address: 8625 54TH DR E
    BRADENTON, FL
    ZIP 34211
  • Facility Phone: 941 753-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERVIN E. BERNOTUS
  • NPI Number: 1255397766
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2032792
LAB Type Physician Office
Facility Name ERVIN E BERNOTUS MD PA
Street 8625 54TH DR E
City BRADENTON
State FL
ZIP 34211
Phone 941 753-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director ERVIN E. BERNOTUS

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