10D0975917 CLIA NUMBER - ADULT & CHILDRENS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0975917
  • Facility Name: ADULT & CHILDRENS SURGERY CENTER
  • Facility Address: 5238 MASON CORBIN CT STE 101
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 239 936-9700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL J. MCKENNA
  • NPI Number: 1770566192
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0975917
LAB Type Ambulatory Surgery Center
Facility Name ADULT & CHILDRENS SURGERY CENTER
Street 5238 MASON CORBIN CT STE 101
City FORT MYERS
State FL
ZIP 33907
Phone 239 936-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Ambulatory Surgery Center
Lab Director DANIEL J. MCKENNA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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