10D1041876 CLIA NUMBER - GULFSHORE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D1041876
  • Facility Name: GULFSHORE ENDOSCOPY CENTER
  • Facility Address: 1084 GOODLETTE RD
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 239 435-9330
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANDRA JARA
  • NPI Number: 1548217128
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1041876
LAB Type Ambulatory Surgery Center
Facility Name GULFSHORE ENDOSCOPY CENTER
Street 1084 GOODLETTE RD
City NAPLES
State FL
ZIP 34102
Phone 239 435-9330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Ambulatory Surgery Center
Lab Director SANDRA JARA

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