10D0965039 CLIA NUMBER - CALUSA HARBOUR

Laboratory Demographics

  • CLIA Code: 10D0965039
  • Facility Name: CALUSA HARBOUR
  • Facility Address: 2525 EAST FIRST STREET
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 332-3333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL CHILDERS
  • NPI Number: 1689627077
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0965039
LAB Type Assisted Living Facility
Facility Name CALUSA HARBOUR
Street 2525 EAST FIRST STREET
City FORT MYERS
State FL
ZIP 33901
Phone 239 332-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Assisted Living Facility
Lab Director MICHAEL CHILDERS

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