10D1085109 CLIA NUMBER - PARK CENTER FOR PROCEDURES

Laboratory Demographics

CLIA Number: 10D1085109

Facility Name: PARK CENTER FOR PROCEDURES

Facility Address:
8255 COLLEGE PKWY
FORT MYERS, FL
ZIP 33919
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Facility Phone Number: 239 267-2900

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1992970230

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1085109
LAB Type	Ambulatory Surgery Center
Facility Name	PARK CENTER FOR PROCEDURES
Street	8255 COLLEGE PKWY
City	FORT MYERS
State	FL
ZIP	33919
Phone	239 267-2900
CertificateType	4
CertificateEffectiveDate	6/11/2022
CertificateExpirationDate	6/10/2024
FacilityType	Waiver

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