10D2197578 CLIA NUMBER - BRADLEY EYECARE LLC

Laboratory Demographics

  • CLIA Code: 10D2197578
  • Facility Name: BRADLEY EYECARE LLC
  • Facility Address: 1553 S. 8TH STREET
    FERNANDINA BEACH, FL
    ZIP 32034
  • Facility Phone: 904 663-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROCKATONIA BRADLEY
  • NPI Number: 1972008555
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2197578
LAB Type Physician Office
Facility Name BRADLEY EYECARE LLC
Street 1553 S. 8TH STREET
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 904 663-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director ROCKATONIA BRADLEY

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