10D1091403 CLIA NUMBER - JORGE L SERRA MD PA

Laboratory Demographics

  • CLIA Code: 10D1091403
  • Facility Name: JORGE L SERRA MD PA
  • Facility Address: 3501 HEALTH CENTER BLVD SUITE 2145
    ESTERO, FL
    ZIP 34135
  • Facility Phone: 239 221-8475
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JORGE L. SERRA
  • NPI Number: 1841287208
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1091403
LAB Type Mobile Laboratory
Facility Name JORGE L SERRA MD PA
Street 3501 HEALTH CENTER BLVD SUITE 2145
City ESTERO
State FL
ZIP 34135
Phone 239 221-8475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Mobile Laboratory
Lab Director JORGE L. SERRA

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