10D0293549 CLIA NUMBER - LEE MEMORIAL HOSPITAL CLINICAL LAB ATTN LINDA NUGTEREN

Laboratory Demographics

CLIA Number: 10D0293549

Facility Name: LEE MEMORIAL HOSPITAL CLINICAL LAB ATTN LINDA NUGTEREN

Facility Address:
2776 CLEVELAND AVE
FORT MYERS, FL
ZIP 33902
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Facility Phone Number: 239 334-5095

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1689236242

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0293549
LAB Type	Hospital
Facility Name	LEE MEMORIAL HOSPITAL CLINICAL LAB ATTN LINDA NUGTEREN
Street	2776 CLEVELAND AVE
City	FORT MYERS
State	FL
ZIP	33902
Phone	239 334-5095
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024