36D2116367 CLIA NUMBER - BRADENTON SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 36D2116367
  • Facility Name: BRADENTON SURGICAL CENTER
  • Facility Address: 4930 BRADENTON AVENUE
    DUBLIN, OH
    ZIP 43017
  • Facility Phone: 614 336-9000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN K. DORNER
  • NPI Number: 1922299379
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D2116367
LAB Type Ambulatory Surgery Center
Facility Name BRADENTON SURGICAL CENTER
Street 4930 BRADENTON AVENUE
City DUBLIN
State OH
ZIP 43017
Phone 614 336-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN K. DORNER

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