10D1042389 CLIA NUMBER - MCGREGOR CLINIC INC, THE

Laboratory Demographics

  • CLIA Code: 10D1042389
  • Facility Name: MCGREGOR CLINIC INC, THE
  • Facility Address: 3487 BROADWAY AVE
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 334-9555
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JOHN PAUL BETTENCOURT
  • NPI Number: 1043495138
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D1042389
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MCGREGOR CLINIC INC, THE
Street 3487 BROADWAY AVE
City FORT MYERS
State FL
ZIP 33901
Phone 239 334-9555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOHN PAUL BETTENCOURT

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