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10D0725797 CLIA NUMBER - NURSECORE OF FORT MYERS

Laboratory Demographics

CLIA Number: 10D0725797

Facility Name: NURSECORE OF FORT MYERS

Facility Address:
4350 FOWLER ST STE 4
FORT MYERS, FL
ZIP 33901
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Facility Phone Number: 239 278-3633

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1225075922

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 10D0725797
LAB Type Home Health Agency
Facility Name NURSECORE OF FORT MYERS
Street 4350 FOWLER ST STE 4
City FORT MYERS
State FL
ZIP 33901
Phone 239 278-3633
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