10D2043507 CLIA NUMBER - LEE HEALTH SYSTEM FAMILY MEDICAL RESIDENCY PROGRAM

Laboratory Demographics

  • CLIA Code: 10D2043507
  • Facility Name: LEE HEALTH SYSTEM FAMILY MEDICAL RESIDENCY PROGRAM
  • Facility Address: 2780 CLEVELAND AVE
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 343-2376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JENNIFER DALRYMPLE
  • NPI Number: 1962954941
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2043507
LAB Type Physician Office
Facility Name LEE HEALTH SYSTEM FAMILY MEDICAL RESIDENCY PROGRAM
Street 2780 CLEVELAND AVE
City FORT MYERS
State FL
ZIP 33901
Phone 239 343-2376
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director DR. JENNIFER DALRYMPLE

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