10D2094078 CLIA NUMBER - LEE PHYSICIAN GROUP FAMILY MEDICINE AT PLANTATION

Laboratory Demographics

  • CLIA Code: 10D2094078
  • Facility Name: LEE PHYSICIAN GROUP FAMILY MEDICINE AT PLANTATION
  • Facility Address: 13782 PLANTATION ROAD #201
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 343-2095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNA E. DE FRANCESCO
  • NPI Number: 1114409141
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2094078
LAB Type Physician Office
Facility Name LEE PHYSICIAN GROUP FAMILY MEDICINE AT PLANTATION
Street 13782 PLANTATION ROAD #201
City FORT MYERS
State FL
ZIP 33912
Phone 239 343-2095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director DR. JENNA E. DE FRANCESCO

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