10D1067566 CLIA NUMBER - ST MARKS SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1067566
  • Facility Name: ST MARKS SURGICAL CENTER LLC
  • Facility Address: 6820 INTERNATIONAL CENTER BLVD
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 210-0301
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN LAQUIS
  • NPI Number: 1225199482
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1067566
LAB Type Ambulatory Surgery Center
Facility Name ST MARKS SURGICAL CENTER LLC
Street 6820 INTERNATIONAL CENTER BLVD
City FORT MYERS
State FL
ZIP 33912
Phone 239 210-0301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN LAQUIS

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