10D2301063 CLIA NUMBER - MESAESTHETICS & WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2301063
  • Facility Name: MESAESTHETICS & WELLNESS LLC
  • Facility Address: 3645 CORTEZ RD W SUITE 110
    BRADENTON, FL
    ZIP 34210
  • Facility Phone: 941 251-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATHALIA MESA
  • NPI Number: 1194589846
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2301063
LAB Type Physician Office
Facility Name MESAESTHETICS & WELLNESS LLC
Street 3645 CORTEZ RD W SUITE 110
City BRADENTON
State FL
ZIP 34210
Phone 941 251-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director NATHALIA MESA

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