10D2040184 CLIA NUMBER - SALUSCARE

Laboratory Demographics

  • CLIA Code: 10D2040184
  • Facility Name: SALUSCARE
  • Facility Address: 3763 EVANS AVE
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 931-9021
  • Facility Type: Other - DETOX UNIT
  • Facility Type: Waiver
  • Lab Director: TINA SUMO
  • NPI Number: 1972557197
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2040184
LAB Type Other - DETOX UNIT
Facility Name SALUSCARE
Street 3763 EVANS AVE
City FORT MYERS
State FL
ZIP 33901
Phone 239 931-9021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Other - DETOX UNIT
Lab Director TINA SUMO

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