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10D2056725 CLIA NUMBER - LEE COMMUNITY HEALTHCARE INC CAPE CORAL

Laboratory Demographics

CLIA Number: 10D2056725

Facility Name: LEE COMMUNITY HEALTHCARE INC CAPE CORAL

Facility Address:
1435 SE 8TH TERRACE - STE E ATTN LINDA NUGTEREN
CAPE CORAL, FL
ZIP 33990
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Facility Phone Number: 239 997-9733

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1912506288

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 10D2056725
LAB Type Physician Office
Facility Name LEE COMMUNITY HEALTHCARE INC CAPE CORAL
Street 1435 SE 8TH TERRACE - STE E ATTN LINDA NUGTEREN
City CAPE CORAL
State FL
ZIP 33990
Phone 239 997-9733
CertificateType 4
CertificateEffectiveDate 4/3/2023
CertificateExpirationDate 4/2/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024