10D2016704 CLIA NUMBER - BEACH HEALTH CENTER LLC, THE

Laboratory Demographics

  • CLIA Code: 10D2016704
  • Facility Name: BEACH HEALTH CENTER LLC, THE
  • Facility Address: 6051 ESTERO BLVD
    FORT MYERS BEACH, FL
    ZIP 33931
  • Facility Phone: 239 765-6000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELIZABETH ULMAN
  • NPI Number: 1720388754
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 10D2016704
LAB Type Practitioner Other
Facility Name BEACH HEALTH CENTER LLC, THE
Street 6051 ESTERO BLVD
City FORT MYERS BEACH
State FL
ZIP 33931
Phone 239 765-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Practitioner Other
Lab Director ELIZABETH ULMAN

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