10D2059668 CLIA NUMBER - LEE COUNTY MEDICAL CENTER INC

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Laboratory Demographics

CLIA Number: 10D2059668

Facility Name: LEE COUNTY MEDICAL CENTER INC

Facility Address:
42 BARKLEY CIRCLE - STE 2
FORT MYERS, FL
ZIP 33907
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Facility Phone Number: 239 226-0910

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720416548

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2059668
LAB Type	Physician Office
Facility Name	LEE COUNTY MEDICAL CENTER INC
Street	42 BARKLEY CIRCLE - STE 2
City	FORT MYERS
State	FL
ZIP	33907
Phone	239 226-0910
CertificateType	4
CertificateEffectiveDate	5/29/2023
CertificateExpirationDate	5/28/2025
FacilityType	Waiver

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