10D2148689 CLIA NUMBER - BRADENTON MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 10D2148689

Facility Name: BRADENTON MEDICAL ASSOCIATES

Facility Address:
5301 1ST ST
BRADENTON, FL
ZIP 34203
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Facility Phone Number: 941 753-1797

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154625168

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	10D2148689
LAB Type	Physician Office
Facility Name	BRADENTON MEDICAL ASSOCIATES
Street	5301 1ST ST
City	BRADENTON
State	FL
ZIP	34203
Phone	941 753-1797
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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