10D0884039 CLIA NUMBER - SUNIL N LALLA MD

Laboratory Demographics

CLIA Number: 10D0884039

Facility Name: SUNIL N LALLA MD

Facility Address:
14171 METROPOLIS AVE #202
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: 239 561-2202

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407841760

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0884039
LAB Type	Physician Office
Facility Name	SUNIL N LALLA MD
Street	14171 METROPOLIS AVE #202
City	FORT MYERS
State	FL
ZIP	33912
Phone	239 561-2202
CertificateType	4
CertificateEffectiveDate	3/24/2024
CertificateExpirationDate	3/23/2026
FacilityType	Waiver

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