10D0985873 CLIA NUMBER - COLLIER COUNTY GOVERMENT WELLNESS CLINIC

Laboratory Demographics

CLIA Number: 10D0985873

Facility Name: COLLIER COUNTY GOVERMENT WELLNESS CLINIC

Facility Address:
3311 TAMIAMI TRL E
NAPLES, FL
ZIP 34112
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Facility Phone Number: 239 252-6092

Facility Type: Other - WELLNESS PROGRAM CLINIC

Certificate Type: Waiver

NPI Number: 1558334367

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name Field Value
CLIA Number 10D0985873
LAB Type Other - WELLNESS PROGRAM CLINIC
Facility Name COLLIER COUNTY GOVERMENT WELLNESS CLINIC
Street 3311 TAMIAMI TRL E
City NAPLES
State FL
ZIP 34112
Phone 239 252-6092
CertificateType 4
CertificateEffectiveDate 3/25/2024
CertificateExpirationDate 3/24/2026
FacilityType Waiver

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