10D2085137 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC

Home > CLIA Lookup > 10D2085137

Laboratory Demographics

CLIA Number: 10D2085137

Facility Name: GENESISCARE USA OF FLORIDA, LLC

Facility Address:
2721 DEL PRADO BLVD SOUTH STE 230B
CAPE CORAL, FL
ZIP 33904
Get Directions

Facility Phone Number: 239 461-8578

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174915748

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2085137
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA, LLC
Street	2721 DEL PRADO BLVD SOUTH STE 230B
City	CAPE CORAL
State	FL
ZIP	33904
Phone	239 461-8578
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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