10D2094564 CLIA NUMBER - DOCTOR 4 U CLINIC

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Laboratory Demographics

CLIA Number: 10D2094564

Facility Name: DOCTOR 4 U CLINIC

Facility Address:
5318 34TH ST W
BRADENTON, FL
ZIP 34210
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Facility Phone Number: 941 758-0205

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366837478

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2094564
LAB Type	Physician Office
Facility Name	DOCTOR 4 U CLINIC
Street	5318 34TH ST W
City	BRADENTON
State	FL
ZIP	34210
Phone	941 758-0205
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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