10D1098690 CLIA NUMBER - PACAYA BAY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1098690
  • Facility Name: PACAYA BAY SURGERY CENTER LLC
  • Facility Address: 13981 MCGREGOR BLVD STE 102
    FORT MYERS, FL
    ZIP 33919
  • Facility Phone: 239 275-4505
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN D. RITROSKY
  • NPI Number: 1942454095
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1098690
LAB Type Ambulatory Surgery Center
Facility Name PACAYA BAY SURGERY CENTER LLC
Street 13981 MCGREGOR BLVD STE 102
City FORT MYERS
State FL
ZIP 33919
Phone 239 275-4505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN D. RITROSKY

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