10D0944970 CLIA NUMBER - LPG OB GYN AT LABELLE

Laboratory Demographics

  • CLIA Code: 10D0944970
  • Facility Name: LPG OB GYN AT LABELLE
  • Facility Address: 930 S MAIN ST
    LABELLE, FL
    ZIP 33935
  • Facility Phone: 863 675-5522
  • Facility Type: Other - HOSPITAL OUTPATIENT DEPAR
  • Facility Type: Waiver
  • Lab Director: JASON S. CESARIO
  • NPI Number: 1770365181
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0944970
LAB Type Other - HOSPITAL OUTPATIENT DEPAR
Facility Name LPG OB GYN AT LABELLE
Street 930 S MAIN ST
City LABELLE
State FL
ZIP 33935
Phone 863 675-5522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Other - HOSPITAL OUTPATIENT DEPAR
Lab Director JASON S. CESARIO

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