10D1016656 CLIA NUMBER - CONSTANTE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D1016656
  • Facility Name: CONSTANTE FAMILY PRACTICE
  • Facility Address: 12400 BRANTLEY COMMONS CT STE 1
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 239 275-9040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GALO F. CONSTANTE
  • NPI Number: 1437316890
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1016656
LAB Type Physician Office
Facility Name CONSTANTE FAMILY PRACTICE
Street 12400 BRANTLEY COMMONS CT STE 1
City FORT MYERS
State FL
ZIP 33907
Phone 239 275-9040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director GALO F. CONSTANTE

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