10D2212058 CLIA NUMBER - DONNA L SHOTWELL OD PA

Laboratory Demographics

  • CLIA Code: 10D2212058
  • Facility Name: DONNA L SHOTWELL OD PA
  • Facility Address: 4934 FRUITVILLE RD
    SARASOTA, FL
    ZIP 34232
  • Facility Phone: 941 371-7644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONNA L. SHOTWELL
  • NPI Number: 1881785970
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2212058
LAB Type Physician Office
Facility Name DONNA L SHOTWELL OD PA
Street 4934 FRUITVILLE RD
City SARASOTA
State FL
ZIP 34232
Phone 941 371-7644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director DONNA L. SHOTWELL

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This page was last updated on: 3/20/2025