10D2014319 CLIA NUMBER - SUSAN F WILLIAMS MD PA

Laboratory Demographics

  • CLIA Code: 10D2014319
  • Facility Name: SUSAN F WILLIAMS MD PA
  • Facility Address: 17928 TOLEDO BLADE BLVD
    PORT CHARLOTTE, FL
    ZIP 33948
  • Facility Phone: 941 743-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN F. WILLIAMS
  • NPI Number: 1790742658
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2014319
LAB Type Physician Office
Facility Name SUSAN F WILLIAMS MD PA
Street 17928 TOLEDO BLADE BLVD
City PORT CHARLOTTE
State FL
ZIP 33948
Phone 941 743-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director SUSAN F. WILLIAMS

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