10D2004323 CLIA NUMBER - PHYSICIANS WEIGHTLOSS CLINICS OF CAPE CORAL MEDI WEIGHTLOSS CLINIC CAPE CORAL

Laboratory Demographics

  • CLIA Code: 10D2004323
  • Facility Name: PHYSICIANS WEIGHTLOSS CLINICS OF CAPE CORAL MEDI WEIGHTLOSS CLINIC CAPE CORAL
  • Facility Address: 4202 DEL PRADO BLVD S
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 471-2125
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TERESE A. TAYLOR
  • NPI Number: 1942688767
  • Taxonomy: 2081N0008X - Physical Medicine & Rehabilitation

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2004323
LAB Type Practitioner Other
Facility Name PHYSICIANS WEIGHTLOSS CLINICS OF CAPE CORAL MEDI WEIGHTLOSS CLINIC CAPE CORAL
Street 4202 DEL PRADO BLVD S
City CAPE CORAL
State FL
ZIP 33904
Phone 239 471-2125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Practitioner Other
Lab Director TERESE A. TAYLOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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