10D2221262 CLIA NUMBER - PAXTON MEDICAL MANAGEMENT, INC DBA FAMILY DOCTORS OF NORTH PORT

Laboratory Demographics

  • CLIA Code: 10D2221262
  • Facility Name: PAXTON MEDICAL MANAGEMENT, INC DBA FAMILY DOCTORS OF NORTH PORT
  • Facility Address: 14279 S TAMIAMI TRAIL
    NORTH PORT, FL
    ZIP 34287
  • Facility Phone: 941 263-2050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELENA HERSCHDORFER RODRIGUEZ
  • NPI Number: 1457950420
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2221262
LAB Type Physician Office
Facility Name PAXTON MEDICAL MANAGEMENT, INC DBA FAMILY DOCTORS OF NORTH PORT
Street 14279 S TAMIAMI TRAIL
City NORTH PORT
State FL
ZIP 34287
Phone 941 263-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director ELENA HERSCHDORFER RODRIGUEZ

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