10D2076021 CLIA NUMBER - JACKSON CENTER PA, THE

Laboratory Demographics

  • CLIA Code: 10D2076021
  • Facility Name: JACKSON CENTER PA, THE
  • Facility Address: 4500 EXECUTIVE DR, STE 300
    NAPLES, FL
    ZIP 34119
  • Facility Phone: 239 598-9009
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHARON C. JACKSON
  • NPI Number: 1417013707
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2076021
LAB Type Physician Office
Facility Name JACKSON CENTER PA, THE
Street 4500 EXECUTIVE DR, STE 300
City NAPLES
State FL
ZIP 34119
Phone 239 598-9009
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. SHARON C. JACKSON

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