10D1051887 CLIA NUMBER - MARC SCHNEIDER MD PA

Laboratory Demographics

CLIA Number: 10D1051887

Facility Name: MARC SCHNEIDER MD PA

Facility Address:
12751 S CLEVELAND #102
FORT MYERS, FL
ZIP 33907
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Facility Phone Number: 239 277-9999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679573869

Taxonomy: 202C00000X - Independent Medical Examiner
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

CLIA Record

Field Name	Field Value
CLIA Number	10D1051887
LAB Type	Physician Office
Facility Name	MARC SCHNEIDER MD PA
Street	12751 S CLEVELAND #102
City	FORT MYERS
State	FL
ZIP	33907
Phone	239 277-9999
CertificateType	4
CertificateEffectiveDate	3/14/2024
CertificateExpirationDate	3/13/2026
FacilityType	Waiver

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