10D2123736 CLIA NUMBER - WESTMINSTER MANOR OF BRADENTON

Laboratory Demographics

  • CLIA Code: 10D2123736
  • Facility Name: WESTMINSTER MANOR OF BRADENTON
  • Facility Address: 1700 21ST AVE W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 748-4161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JASON BRUNNER
  • NPI Number: 1225053473
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2123736
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTMINSTER MANOR OF BRADENTON
Street 1700 21ST AVE W
City BRADENTON
State FL
ZIP 34205
Phone 941 748-4161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JASON BRUNNER

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