10D2195758 CLIA NUMBER - MCR HEALTH FRUITVILLE

Laboratory Demographics

  • CLIA Code: 10D2195758
  • Facility Name: MCR HEALTH FRUITVILLE
  • Facility Address: 170 N LIME AVE
    SARASOTA, FL
    ZIP 34237
  • Facility Phone: 941 960-9907
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MONICA RIDER
  • NPI Number: 1942853619
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2195758
LAB Type Federally Qualified Health Center
Facility Name MCR HEALTH FRUITVILLE
Street 170 N LIME AVE
City SARASOTA
State FL
ZIP 34237
Phone 941 960-9907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Federally Qualified Health Center
Lab Director MONICA RIDER

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