10D2067793 CLIA NUMBER - FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP

Laboratory Demographics

  • CLIA Code: 10D2067793
  • Facility Name: FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP
  • Facility Address: 101 RIVERFRONT BLVD STE 700
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 748-2417
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK S. KOCAB
  • NPI Number: 1598032203
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2067793
LAB Type Physician Office
Facility Name FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP
Street 101 RIVERFRONT BLVD STE 700
City BRADENTON
State FL
ZIP 34205
Phone 941 748-2417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director MARK S. KOCAB

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