10D2189248 CLIA NUMBER - MANATEE ELEMENTARY SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 10D2189248
  • Facility Name: MANATEE ELEMENTARY SCHOOL BASED HEALTH CENTER
  • Facility Address: 1609 6TH AVE EAST
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: 941 718-2315
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MONICA RIDER
  • NPI Number: 1306463401
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2189248
LAB Type Federally Qualified Health Center
Facility Name MANATEE ELEMENTARY SCHOOL BASED HEALTH CENTER
Street 1609 6TH AVE EAST
City BRADENTON
State FL
ZIP 34208
Phone 941 718-2315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Federally Qualified Health Center
Lab Director MONICA RIDER

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