10D2074431 CLIA NUMBER - LANE PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D2074431
  • Facility Name: LANE PEDIATRICS PA
  • Facility Address: 7841 CAMBRIDGE MANOR PLACE SUITE C
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 239 908-3593
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA K. LANE
  • NPI Number: 1780001420
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2074431
LAB Type Physician Office
Facility Name LANE PEDIATRICS PA
Street 7841 CAMBRIDGE MANOR PLACE SUITE C
City FORT MYERS
State FL
ZIP 33907
Phone 239 908-3593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director SARA K. LANE

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