10D0908796 CLIA NUMBER - ALAN L TANNENBAUM MD PA

Laboratory Demographics

  • CLIA Code: 10D0908796
  • Facility Name: ALAN L TANNENBAUM MD PA
  • Facility Address: 523 CAPE CORAL PKWY E
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 549-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALAN L. TANNENBAUM
  • NPI Number: 1740949387
  • Taxonomy: 246RM2200X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D0908796
LAB Type Physician Office
Facility Name ALAN L TANNENBAUM MD PA
Street 523 CAPE CORAL PKWY E
City CAPE CORAL
State FL
ZIP 33904
Phone 239 549-2772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DR. ALAN L. TANNENBAUM

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