10D1069097 CLIA NUMBER - RICHARD R WILSON DO

Laboratory Demographics

  • CLIA Code: 10D1069097
  • Facility Name: RICHARD R WILSON DO
  • Facility Address: 9250 CORKSCREW RD STE 5
    ESTERO, FL
    ZIP 33928
  • Facility Phone: 239 949-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD R. WILSON DO
  • NPI Number: 1528021417
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1069097
LAB Type Physician Office
Facility Name RICHARD R WILSON DO
Street 9250 CORKSCREW RD STE 5
City ESTERO
State FL
ZIP 33928
Phone 239 949-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director RICHARD R. WILSON DO

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