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10D2152834 CLIA NUMBER - UNIVERSITY OF SOUTH FLORIDA SARASOTA MANATEE COUNSELING AND WELLNESS CENTER

Laboratory Demographics

CLIA Number: 10D2152834

Facility Name: UNIVERSITY OF SOUTH FLORIDA SARASOTA MANATEE COUNSELING AND WELLNESS CENTER

Facility Address:
8350 N TAMIAMI TRAIL SMD
SARASOTA, FL
ZIP 34243
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Facility Phone Number: 813 974-1818

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1619269354

Taxonomy: 332S00000X - Hearing Aid Equipment
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.

CLIA Record

Field Name Field Value
CLIA Number 10D2152834
LAB Type School/Student Health Service
Facility Name UNIVERSITY OF SOUTH FLORIDA SARASOTA MANATEE COUNSELING AND WELLNESS CENTER
Street 8350 N TAMIAMI TRAIL SMD
City SARASOTA
State FL
ZIP 34243
Phone 813 974-1818
CertificateType 4
CertificateEffectiveDate 8/17/2022
CertificateExpirationDate 8/16/2024
FacilityType Waiver

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