10D2003032 CLIA NUMBER - MEDSOL CLINICAL RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 10D2003032
  • Facility Name: MEDSOL CLINICAL RESEARCH CENTER
  • Facility Address: HARBOR PROFESSIONAL CENTRE 3390 TAMIAMI TRAIL UNIT 205
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 623-9744
  • Facility Type: Other - CLINICAL RESEARCH CENTER
  • Facility Type: Waiver
  • Lab Director: MARIA F. VASCONCELOS
  • NPI Number: 1457775868
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2003032
LAB Type Other - CLINICAL RESEARCH CENTER
Facility Name MEDSOL CLINICAL RESEARCH CENTER
Street HARBOR PROFESSIONAL CENTRE 3390 TAMIAMI TRAIL UNIT 205
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 623-9744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Other - CLINICAL RESEARCH CENTER
Lab Director MARIA F. VASCONCELOS

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