10D0884039 CLIA NUMBER - SUNIL N LALLA MD

Laboratory Demographics

  • CLIA Code: 10D0884039
  • Facility Name: SUNIL N LALLA MD
  • Facility Address: 14171 METROPOLIS AVE #202
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 561-2202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNIL N. LALLA MD
  • NPI Number: 1407841760
  • Taxonomy: 207RP1001X - Internal Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director SUNIL N. LALLA MD

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