10D1105780 CLIA NUMBER - KONOWAL VISION CENTER

Laboratory Demographics

  • CLIA Code: 10D1105780
  • Facility Name: KONOWAL VISION CENTER
  • Facility Address: 9500 CORKSCREW PALM STE 3
    ESTERO, FL
    ZIP 33928
  • Facility Phone: 239 948-7555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER KONOWAL
  • NPI Number: 1639110570
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D1105780
LAB Type Physician Office
Facility Name KONOWAL VISION CENTER
Street 9500 CORKSCREW PALM STE 3
City ESTERO
State FL
ZIP 33928
Phone 239 948-7555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director ALEXANDER KONOWAL

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