10D2216662 CLIA NUMBER - TWO RIVERS URGENT CARE AND WELLNESS LLC

Laboratory Demographics

CLIA Number: 10D2216662

Facility Name: TWO RIVERS URGENT CARE AND WELLNESS LLC

Facility Address:
2810 MANATEE AVE E
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 941 226-0206

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1639765399

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2216662
LAB Type	Other - URGENT CARE
Facility Name	TWO RIVERS URGENT CARE AND WELLNESS LLC
Street	2810 MANATEE AVE E
City	BRADENTON
State	FL
ZIP	34208
Phone	941 226-0206
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024