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10D2119283 CLIA NUMBER - RIVERSIDE MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 10D2119283

Facility Name: RIVERSIDE MEDICAL SERVICES

Facility Address:
300 RIVERSIDE DR E, SUITE 2010
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 941 776-4000

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy
NPI Number: 1285945386

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 10D2119283
LAB Type Federally Qualified Health Center
Facility Name RIVERSIDE MEDICAL SERVICES
Street 300 RIVERSIDE DR E, SUITE 2010
City BRADENTON
State FL
ZIP 34208
Phone 941 776-4000
CertificateType 3
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType PPMP

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