10D2003353 CLIA NUMBER - FORT MYERS ENDOSCOPY CENTER LLC

Home > CLIA Lookup > 10D2003353

Laboratory Demographics

CLIA Number: 10D2003353

Facility Name: FORT MYERS ENDOSCOPY CENTER LLC

Facility Address:
5050 MASON CORBIN CT
FORT MYERS, FL
ZIP 33907
Get Directions

Facility Phone Number: 239 482-2280

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1730355595

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2003353
LAB Type	Ambulatory Surgery Center
Facility Name	FORT MYERS ENDOSCOPY CENTER LLC
Street	5050 MASON CORBIN CT
City	FORT MYERS
State	FL
ZIP	33907
Phone	239 482-2280
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
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