10D2140062 CLIA NUMBER - UNIVERSAL WELLNESS GROUP, PA

Laboratory Demographics

  • CLIA Code: 10D2140062
  • Facility Name: UNIVERSAL WELLNESS GROUP, PA
  • Facility Address: 1220 59TH STREET, WEST
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: (941) 238-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL AMOAH
  • NPI Number: 1053838870
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2140062
LAB Type Physician Office
Facility Name UNIVERSAL WELLNESS GROUP, PA
Street 1220 59TH STREET, WEST
City BRADENTON
State FL
ZIP 34209
Phone 9412389900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2025
Certificate Expiration Date 11/13/2027
Facility Type Physician Office
Lab Director DANIEL AMOAH

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This page was last updated on: 5/18/2026