10D2089795 CLIA NUMBER - ADVENTHEALTH WOUND CARE & HYPERBARIC MEDICINE PUNTA GORDA

Laboratory Demographics

  • CLIA Code: 10D2089795
  • Facility Name: ADVENTHEALTH WOUND CARE & HYPERBARIC MEDICINE PUNTA GORDA
  • Facility Address: 25097 E OLYMPIA AVE - STE 107
    PUNTA GORDA, FL
    ZIP 33950
  • Facility Phone: 941 205-2620
  • Facility Type: Other - WOUND CARE
  • Facility Type: Waiver
  • Lab Director: LAWRENCE R. BACHLE
  • NPI Number: 1104870245
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2089795
LAB Type Other - WOUND CARE
Facility Name ADVENTHEALTH WOUND CARE & HYPERBARIC MEDICINE PUNTA GORDA
Street 25097 E OLYMPIA AVE - STE 107
City PUNTA GORDA
State FL
ZIP 33950
Phone 941 205-2620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other - WOUND CARE
Lab Director LAWRENCE R. BACHLE

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