10D2008599 CLIA NUMBER - KENNETH J GALANG

Laboratory Demographics

  • CLIA Code: 10D2008599
  • Facility Name: KENNETH J GALANG
  • Facility Address: 13710 METROPOLIS AVE STE 110
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 225-0129
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH J. GALANG
  • NPI Number: 1376552661
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2008599
LAB Type Physician Office
Facility Name KENNETH J GALANG
Street 13710 METROPOLIS AVE STE 110
City FORT MYERS
State FL
ZIP 33912
Phone 239 225-0129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director KENNETH J. GALANG

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