10D2153554 CLIA NUMBER - CENTERPLACE HEALTH

Laboratory Demographics

CLIA Number: 10D2153554

Facility Name: CENTERPLACE HEALTH

Facility Address:
2200 RINGLING BLVD
SARASOTA, FL
ZIP 34237
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Facility Phone Number: 941 529-0200

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1104316272

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2153554
LAB Type	Federally Qualified Health Center
Facility Name	CENTERPLACE HEALTH
Street	2200 RINGLING BLVD
City	SARASOTA
State	FL
ZIP	34237
Phone	941 529-0200
CertificateType	4
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	Waiver

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