10D1085109 CLIA NUMBER - PARK CENTER FOR PROCEDURES

Laboratory Demographics

  • CLIA Code: 10D1085109
  • Facility Name: PARK CENTER FOR PROCEDURES
  • Facility Address: 8255 COLLEGE PKWY
    FORT MYERS, FL
    ZIP 33919
  • Facility Phone: 239 267-2900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN S. DAITCH
  • NPI Number: 1992970230
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Ambulatory Surgery Center
Lab Director JONATHAN S. DAITCH

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