10D2173406 CLIA NUMBER - ERIKA BRADSHAW MD PA

Laboratory Demographics

  • CLIA Code: 10D2173406
  • Facility Name: ERIKA BRADSHAW MD PA
  • Facility Address: 311 NOLAND DR
    BRANDON, FL
    ZIP 33509
  • Facility Phone: 813 810-1688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIKA BRADSHAW
  • NPI Number: 1639218720
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2173406
LAB Type Physician Office
Facility Name ERIKA BRADSHAW MD PA
Street 311 NOLAND DR
City BRANDON
State FL
ZIP 33509
Phone 813 810-1688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director ERIKA BRADSHAW

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This page was last updated on: 9/29/2025