10D2110122 CLIA NUMBER - MANASOTA PEDIATRICS

Laboratory Demographics

CLIA Number: 10D2110122

Facility Name: MANASOTA PEDIATRICS

Facility Address:
3425 UNIV PKWY STE 103
SARASOTA, FL
ZIP 34243
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Facility Phone Number: 941 355-1777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700391414

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2110122
LAB Type	Physician Office
Facility Name	MANASOTA PEDIATRICS
Street	3425 UNIV PKWY STE 103
City	SARASOTA
State	FL
ZIP	34243
Phone	941 355-1777
CertificateType	4
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	Waiver

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