10D2041584 CLIA NUMBER - LAKEWOOD OBSTETRICS AND GYNECOLOGY LLC

Home > CLIA Lookup > 10D2041584

Laboratory Demographics

CLIA Number: 10D2041584

Facility Name: LAKEWOOD OBSTETRICS AND GYNECOLOGY LLC

Facility Address:
8340 LAKEWOOD RANCH BLVD STE 140
BRADENTON, FL
ZIP 34202
Get Directions

Facility Phone Number: 941 907-9298

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699332106

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	10D2041584
LAB Type	Physician Office
Facility Name	LAKEWOOD OBSTETRICS AND GYNECOLOGY LLC
Street	8340 LAKEWOOD RANCH BLVD STE 140
City	BRADENTON
State	FL
ZIP	34202
Phone	941 907-9298
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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