10D0884564 CLIA NUMBER - NURSECORE OF PORT CHARLOTTE

Laboratory Demographics

  • CLIA Code: 10D0884564
  • Facility Name: NURSECORE OF PORT CHARLOTTE
  • Facility Address: 2726 TAMIAMI TRAIL UNIT B
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 743-8878
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DENA OBERG
  • NPI Number: 1235237421
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0884564
LAB Type Home Health Agency
Facility Name NURSECORE OF PORT CHARLOTTE
Street 2726 TAMIAMI TRAIL UNIT B
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 743-8878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Home Health Agency
Lab Director DENA OBERG

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