10D2277441 CLIA NUMBER - AFFINITY CARE OF MANATEE COUNTY LLC

Laboratory Demographics

CLIA Number: 10D2277441

Facility Name: AFFINITY CARE OF MANATEE COUNTY LLC

Facility Address:
209 6TH AVE E - STE A
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 941 277-5990

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1114630324

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	10D2277441
LAB Type	Hospice
Facility Name	AFFINITY CARE OF MANATEE COUNTY LLC
Street	209 6TH AVE E - STE A
City	BRADENTON
State	FL
ZIP	34208
Phone	941 277-5990
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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