10D0979269 CLIA NUMBER - PEDRO P YLISASTIGUI MD PA

Laboratory Demographics

  • CLIA Code: 10D0979269
  • Facility Name: PEDRO P YLISASTIGUI MD PA
  • Facility Address: 1150 LEE BLVD STE 4
    LEHIGH ACRES, FL
    ZIP 33936
  • Facility Phone: 941 369-9911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO P. YLISASTIGUI MD
  • NPI Number: 1477610715
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0979269
LAB Type Physician Office
Facility Name PEDRO P YLISASTIGUI MD PA
Street 1150 LEE BLVD STE 4
City LEHIGH ACRES
State FL
ZIP 33936
Phone 941 369-9911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director PEDRO P. YLISASTIGUI MD

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