10D0294080 CLIA NUMBER - HEALTHCARE NETWORK

Laboratory Demographics

  • CLIA Code: 10D0294080
  • Facility Name: HEALTHCARE NETWORK
  • Facility Address: 1454 MADISON AVE
    IMMOKALEE, FL
    ZIP 34143
  • Facility Phone: 239 658-3131
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. JAIMENEE KHEMRAJ
  • NPI Number: 1053526962
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0294080
LAB Type Federally Qualified Health Center
Facility Name HEALTHCARE NETWORK
Street 1454 MADISON AVE
City IMMOKALEE
State FL
ZIP 34143
Phone 239 658-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Federally Qualified Health Center
Lab Director DR. JAIMENEE KHEMRAJ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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