10D2305068 CLIA NUMBER - MANATEE DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 10D2305068
  • Facility Name: MANATEE DIAGNOSTIC CENTER
  • Facility Address: 250 2ND ST EAST SUITE 1B
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: 941 747-3034
  • Facility Type: Other - IND DIAGNOSTIC TEST FAC
  • Facility Type: Waiver
  • Lab Director: BRET HENRICKS
  • NPI Number: 1689760993
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2305068
LAB Type Other - IND DIAGNOSTIC TEST FAC
Facility Name MANATEE DIAGNOSTIC CENTER
Street 250 2ND ST EAST SUITE 1B
City BRADENTON
State FL
ZIP 34208
Phone 941 747-3034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Other - IND DIAGNOSTIC TEST FAC
Lab Director BRET HENRICKS

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