10D2294719 CLIA NUMBER - STRATUM LIFE, LLC

Laboratory Demographics

CLIA Code: 10D2294719
Facility Name: STRATUM LIFE, LLC
Facility Address: 303 13TH AVE E
BRADENTON, FL
ZIP 34208
Facility Phone: 941 248-1550
Facility Type: Other - PACE PROGRAM/ADC
Facility Type: Waiver
Lab Director: WILLIAM BURT
NPI Number: 1336925106
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	10D2294719
LAB Type	Other - PACE PROGRAM/ADC
Facility Name	STRATUM LIFE, LLC
Street	303 13TH AVE E
City	BRADENTON
State	FL
ZIP	34208
Phone	941 248-1550
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/29/2023
Certificate Expiration Date	11/28/2025
Facility Type	Other - PACE PROGRAM/ADC
Lab Director	WILLIAM BURT

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