10D1074187 CLIA NUMBER - PREMIER ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D1074187
  • Facility Name: PREMIER ENDOSCOPY CENTER
  • Facility Address: 1656 MEDICAL BLVD STE 201
    NAPLES, FL
    ZIP 34110
  • Facility Phone: 239 449-4945
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN A. MECKSTROTH
  • NPI Number: 1467635581
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1074187
LAB Type Ambulatory Surgery Center
Facility Name PREMIER ENDOSCOPY CENTER
Street 1656 MEDICAL BLVD STE 201
City NAPLES
State FL
ZIP 34110
Phone 239 449-4945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Ambulatory Surgery Center
Lab Director STEVEN A. MECKSTROTH

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