10D2274166 CLIA NUMBER - MCR HEALTH CORTEZ PEDIATRICS /OBGYN

Laboratory Demographics

  • CLIA Code: 10D2274166
  • Facility Name: MCR HEALTH CORTEZ PEDIATRICS /OBGYN
  • Facility Address: 3501 CORTEZ RD WEST
    BRADENTON, FL
    ZIP 34210
  • Facility Phone: 941 776-4000
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MONICA RIDER
  • NPI Number: 1609515410
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2274166
LAB Type Federally Qualified Health Center
Facility Name MCR HEALTH CORTEZ PEDIATRICS /OBGYN
Street 3501 CORTEZ RD WEST
City BRADENTON
State FL
ZIP 34210
Phone 941 776-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Federally Qualified Health Center
Lab Director MONICA RIDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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