10D2146434 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER - BRADENTON

Laboratory Demographics

CLIA Number: 10D2146434

Facility Name: DEDICATED SENIOR MEDICAL CENTER - BRADENTON

Facility Address:
1505 53RD AVE, E
BRADENTON, FL
ZIP 34203
Get Directions

Facility Phone Number: 941 357-7950

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811404908

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2146434
LAB Type	Physician Office
Facility Name	DEDICATED SENIOR MEDICAL CENTER - BRADENTON
Street	1505 53RD AVE, E
City	BRADENTON
State	FL
ZIP	34203
Phone	941 357-7950
CertificateType	4
CertificateEffectiveDate	3/29/2024
CertificateExpirationDate	3/28/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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