10D0293703 CLIA NUMBER - OB/GYN AT EAST FT MYERS

Laboratory Demographics

  • CLIA Code: 10D0293703
  • Facility Name: OB/GYN AT EAST FT MYERS
  • Facility Address: 4040 PALM BEACH BLVD - STE F
    FORT MYERS, FL
    ZIP 33916
  • Facility Phone: 239 343-7220
  • Facility Type: Other - HOSPITAL OUTPATIENT DEPT
  • Facility Type: Waiver
  • Lab Director: JASON S. CESARIO
  • NPI Number: 1891142238
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0293703
LAB Type Other - HOSPITAL OUTPATIENT DEPT
Facility Name OB/GYN AT EAST FT MYERS
Street 4040 PALM BEACH BLVD - STE F
City FORT MYERS
State FL
ZIP 33916
Phone 239 343-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Other - HOSPITAL OUTPATIENT DEPT
Lab Director JASON S. CESARIO

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