10D0869659 CLIA NUMBER - GOLISANO PEDIATRICS - DEL PRADO

Laboratory Demographics

  • CLIA Code: 10D0869659
  • Facility Name: GOLISANO PEDIATRICS - DEL PRADO
  • Facility Address: 126 DEL PRADO BLVD N - STE 101
    CAPE CORAL, FL
    ZIP 33909
  • Facility Phone: 239 772-3295
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANANTHALAKSHMI KRISHNAN
  • NPI Number: 1477629525
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0869659
LAB Type Physician Office
Facility Name GOLISANO PEDIATRICS - DEL PRADO
Street 126 DEL PRADO BLVD N - STE 101
City CAPE CORAL
State FL
ZIP 33909
Phone 239 772-3295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director ANANTHALAKSHMI KRISHNAN

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