10D2179641 CLIA NUMBER - JUSTIN ROSS WASSERMAN MD PL

Laboratory Demographics

  • CLIA Code: 10D2179641
  • Facility Name: JUSTIN ROSS WASSERMAN MD PL
  • Facility Address: 409 SERANO WAY UNIT 101
    NOKOMIS, FL
    ZIP 34275
  • Facility Phone: 941 484-8222
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JUSTIN R. WASSERMAN
  • NPI Number: 1891098612
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2179641
LAB Type Physician Office
Facility Name JUSTIN ROSS WASSERMAN MD PL
Street 409 SERANO WAY UNIT 101
City NOKOMIS
State FL
ZIP 34275
Phone 941 484-8222
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director JUSTIN R. WASSERMAN

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