10D0294324 CLIA NUMBER - BLANE CRANDALL MD LLC

Laboratory Demographics

  • CLIA Code: 10D0294324
  • Facility Name: BLANE CRANDALL MD LLC
  • Facility Address: 1660 MEDICAL BLVD STE 101
    NAPLES, FL
    ZIP 34110
  • Facility Phone: 239 596-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLANE M. CRANDALL
  • NPI Number: 1619057395
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0294324
LAB Type Physician Office
Facility Name BLANE CRANDALL MD LLC
Street 1660 MEDICAL BLVD STE 101
City NAPLES
State FL
ZIP 34110
Phone 239 596-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director BLANE M. CRANDALL

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