10D0708853 CLIA NUMBER - CALUSA HARBOUR

Laboratory Demographics

CLIA Number: 10D0708853

Facility Name: CALUSA HARBOUR

Facility Address:
2525 E 1ST ST
FORT MYERS, FL
ZIP 33901
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Facility Phone Number: 239 468-3333

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1689627077

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D0708853
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CALUSA HARBOUR
Street	2525 E 1ST ST
City	FORT MYERS
State	FL
ZIP	33901
Phone	239 468-3333
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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