10D2030786 CLIA NUMBER - PAUL M POPPER MD PA

Laboratory Demographics

  • CLIA Code: 10D2030786
  • Facility Name: PAUL M POPPER MD PA
  • Facility Address: 21229 OLEAN BLVD UNIT D
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 625-6223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL M. POPPER
  • NPI Number: 1124045216
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2030786
LAB Type Physician Office
Facility Name PAUL M POPPER MD PA
Street 21229 OLEAN BLVD UNIT D
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 625-6223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director PAUL M. POPPER

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