10D2003032 CLIA NUMBER - MEDSOL CLINICAL RESEARCH CENTER

Home > CLIA Lookup > 10D2003032

Laboratory Demographics

CLIA Number: 10D2003032

Facility Name: MEDSOL CLINICAL RESEARCH CENTER

Facility Address:
HARBOR PROFESSIONAL CENTRE 3390 TAMIAMI TRAIL UNIT 205
PORT CHARLOTTE, FL
ZIP 33952
Get Directions

Facility Phone Number: 941 623-9744

Facility Type: Other - CLINICAL RESEARCH CENTER

Certificate Type: Waiver

NPI Number: 1457775868

Taxonomy: 261QR1100X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024