10D0935937 CLIA NUMBER - LEE MEMORIAL HEALTH SYSTEM D/B/A LEE PHYSICIANS GROUP OB GYN CAPE

Laboratory Demographics

CLIA Number: 10D0935937

Facility Name: LEE MEMORIAL HEALTH SYSTEM D/B/A LEE PHYSICIANS GROUP OB GYN CAPE

Facility Address:
636 DEL PRADO BLVD, SUITE 100
CAPE CORAL, FL
ZIP 33990
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Facility Phone Number: 239 424-1632

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1184981656

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D0935937
LAB Type	Physician Office
Facility Name	LEE MEMORIAL HEALTH SYSTEM D/B/A LEE PHYSICIANS GROUP OB GYN CAPE
Street	636 DEL PRADO BLVD, SUITE 100
City	CAPE CORAL
State	FL
ZIP	33990
Phone	239 424-1632
CertificateType	3
CertificateEffectiveDate	11/11/2023
CertificateExpirationDate	11/10/2025
FacilityType	PPMP

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