10D2154487 CLIA NUMBER - MATRIX PULMONARY PA

Laboratory Demographics

  • CLIA Code: 10D2154487
  • Facility Name: MATRIX PULMONARY PA
  • Facility Address: 2401 MANATEE AVE W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 744-1336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. PETERS
  • NPI Number: 1982890158
  • Taxonomy: 207RP1001X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2154487
LAB Type Physician Office
Facility Name MATRIX PULMONARY PA
Street 2401 MANATEE AVE W
City BRADENTON
State FL
ZIP 34205
Phone 941 744-1336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director JOHN T. PETERS

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