10D2104543 CLIA NUMBER - FRIENDSHIP HEALTH CENTER

Laboratory Demographics

CLIA Number: 10D2104543

Facility Name: FRIENDSHIP HEALTH CENTER

Facility Address:
2355 STANFORD CT STE 701
NAPLES, FL
ZIP 34112
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Facility Phone Number: 239 658-3131

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1467829424

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2104543
LAB Type	Federally Qualified Health Center
Facility Name	FRIENDSHIP HEALTH CENTER
Street	2355 STANFORD CT STE 701
City	NAPLES
State	FL
ZIP	34112
Phone	239 658-3131
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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