10D2144788 CLIA NUMBER - MANATEE GYNECOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2144788
  • Facility Name: MANATEE GYNECOLOGY LLC
  • Facility Address: 2310 60TH ST COURT WEST
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 792-4993
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KINNARI DESAI
  • NPI Number: 1578077970
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2144788
LAB Type Physician Office
Facility Name MANATEE GYNECOLOGY LLC
Street 2310 60TH ST COURT WEST
City BRADENTON
State FL
ZIP 34209
Phone 941 792-4993
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director KINNARI DESAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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