10D2197724 CLIA NUMBER - BRADENTON PALMS ALF 1

Laboratory Demographics

  • CLIA Code: 10D2197724
  • Facility Name: BRADENTON PALMS ALF 1
  • Facility Address: 802 71ST ST NW
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 813 767-3808
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATASHA POWELL
  • NPI Number: 1235531690
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2197724
LAB Type Assisted Living Facility
Facility Name BRADENTON PALMS ALF 1
Street 802 71ST ST NW
City BRADENTON
State FL
ZIP 34209
Phone 813 767-3808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Assisted Living Facility
Lab Director NATASHA POWELL

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