10D2321039 CLIA NUMBER - MANATEE PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2321039
  • Facility Name: MANATEE PRIMARY CARE LLC
  • Facility Address: 6302 MANATEE AVENUE WEST, UNIT D
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 356-3218
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARIADNIS URQUIZA MILIAN
  • NPI Number: 1225846017
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2321039
LAB Type Physician Office
Facility Name MANATEE PRIMARY CARE LLC
Street 6302 MANATEE AVENUE WEST, UNIT D
City BRADENTON
State FL
ZIP 34209
Phone 941 356-3218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director ARIADNIS URQUIZA MILIAN

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