10D0911986 CLIA NUMBER - IMMOKALEE FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0911986
  • Facility Name: IMMOKALEE FAMILY CARE CENTER
  • Facility Address: 508 N 9TH ST STE 142
    IMMOKALEE, FL
    ZIP 34142
  • Facility Phone: 239 658-3131
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KHEMRAJ R. JAIMENEE
  • NPI Number: 1588879498
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D0911986
LAB Type Federally Qualified Health Center
Facility Name IMMOKALEE FAMILY CARE CENTER
Street 508 N 9TH ST STE 142
City IMMOKALEE
State FL
ZIP 34142
Phone 239 658-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Federally Qualified Health Center
Lab Director KHEMRAJ R. JAIMENEE

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