10D2066542 CLIA NUMBER - HISPANIC HEALTH ENTERPRISES LLC

Laboratory Demographics

  • CLIA Code: 10D2066542
  • Facility Name: HISPANIC HEALTH ENTERPRISES LLC
  • Facility Address: 4990 GOLDEN GATE PKWY STE 2
    NAPLES, FL
    ZIP 34116
  • Facility Phone: 239 692-8309
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TABARE D. TABAR
  • NPI Number: 1477801942
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2066542
LAB Type Physician Office
Facility Name HISPANIC HEALTH ENTERPRISES LLC
Street 4990 GOLDEN GATE PKWY STE 2
City NAPLES
State FL
ZIP 34116
Phone 239 692-8309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director TABARE D. TABAR

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