10D2093309 CLIA NUMBER - GULFSHORE CONCIERGE MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2093309
  • Facility Name: GULFSHORE CONCIERGE MEDICINE
  • Facility Address: 1350 TAMIAMI TRL STE 101
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 239 325-1020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC J. HOCHMAN
  • NPI Number: 1184963795
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 10D2093309
LAB Type Physician Office
Facility Name GULFSHORE CONCIERGE MEDICINE
Street 1350 TAMIAMI TRL STE 101
City NAPLES
State FL
ZIP 34102
Phone 239 325-1020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director ERIC J. HOCHMAN

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