10D0998884 CLIA NUMBER - GLADIOLUS SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D0998884

Facility Name: GLADIOLUS SURGERY CENTER

Facility Address:
7431 GLADIOLUS DRIVE
FORT MYERS, FL
ZIP 33908
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Facility Phone Number: 239 689-7000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1457448912

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0998884
LAB Type	Ambulatory Surgery Center
Facility Name	GLADIOLUS SURGERY CENTER
Street	7431 GLADIOLUS DRIVE
City	FORT MYERS
State	FL
ZIP	33908
Phone	239 689-7000
CertificateType	4
CertificateEffectiveDate	4/29/2024
CertificateExpirationDate	4/28/2026
FacilityType	Waiver

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