10D2316995 CLIA NUMBER - ADVANCED SPECIALTY INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2316995
  • Facility Name: ADVANCED SPECIALTY INSTITUTE
  • Facility Address: 6015 POINTE WEST BLVD
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 776-4000
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: WILFREDO RIVERA-ORTIZ
  • NPI Number: 1598853962
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2316995
LAB Type Federally Qualified Health Center
Facility Name ADVANCED SPECIALTY INSTITUTE
Street 6015 POINTE WEST BLVD
City BRADENTON
State FL
ZIP 34209
Phone 941 776-4000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Federally Qualified Health Center
Lab Director WILFREDO RIVERA-ORTIZ

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