10D0719349 CLIA NUMBER - LISA D ZACK MD PA

Laboratory Demographics

  • CLIA Code: 10D0719349
  • Facility Name: LISA D ZACK MD PA
  • Facility Address: 801 ANCHOR RODE DR STE 100
    NAPLES, FL
    ZIP 34103
  • Facility Phone: 239 263-1717
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LISA D. ZACK
  • NPI Number: 1467458984
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0719349
LAB Type Physician Office
Facility Name LISA D ZACK MD PA
Street 801 ANCHOR RODE DR STE 100
City NAPLES
State FL
ZIP 34103
Phone 239 263-1717
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director DR. LISA D. ZACK

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