10D2104687 CLIA NUMBER - CAPE CORAL HOME TRAINING

Laboratory Demographics

  • CLIA Code: 10D2104687
  • Facility Name: CAPE CORAL HOME TRAINING
  • Facility Address: 3637 DEL PRADO BLVD S STE 202
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 549-0339
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYEDA S. KHAN
  • NPI Number: 1962421131
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2104687
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAPE CORAL HOME TRAINING
Street 3637 DEL PRADO BLVD S STE 202
City CAPE CORAL
State FL
ZIP 33904
Phone 239 549-0339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYEDA S. KHAN

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