10D0699308 CLIA NUMBER - AVIATA AT NORTH FORT MYERS

Laboratory Demographics

  • CLIA Code: 10D0699308
  • Facility Name: AVIATA AT NORTH FORT MYERS
  • Facility Address: 991 PONDELLA ROAD
    N FT MYERS, FL
    ZIP 33903
  • Facility Phone: 239 995-8809
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA A. SHARRER
  • NPI Number: 1013930031
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0699308
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT NORTH FORT MYERS
Street 991 PONDELLA ROAD
City N FT MYERS
State FL
ZIP 33903
Phone 239 995-8809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA A. SHARRER

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