10D2104137 CLIA NUMBER - HEALTHCARE NETWORK POLARIS

Laboratory Demographics

  • CLIA Code: 10D2104137
  • Facility Name: HEALTHCARE NETWORK POLARIS
  • Facility Address: 1265 CREEKSIDE PKWY - STE 208
    NAPLES, FL
    ZIP 34108
  • Facility Phone: 239 658-3131
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JAIMENEE KHEMRAJ
  • NPI Number: 1780078998
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2104137
LAB Type Federally Qualified Health Center
Facility Name HEALTHCARE NETWORK POLARIS
Street 1265 CREEKSIDE PKWY - STE 208
City NAPLES
State FL
ZIP 34108
Phone 239 658-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Federally Qualified Health Center
Lab Director JAIMENEE KHEMRAJ

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