10D2297828 CLIA NUMBER - BODY THERAPY WELLNESS & AESTHETICS INC

Laboratory Demographics

  • CLIA Code: 10D2297828
  • Facility Name: BODY THERAPY WELLNESS & AESTHETICS INC
  • Facility Address: 4422 5TH ST WEST
    BRADENTON, FL
    ZIP 34207
  • Facility Phone: 941 222-1808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN JARAMILLO
  • NPI Number: 1306527155
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2297828
LAB Type Physician Office
Facility Name BODY THERAPY WELLNESS & AESTHETICS INC
Street 4422 5TH ST WEST
City BRADENTON
State FL
ZIP 34207
Phone 941 222-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director CARMEN JARAMILLO

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