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10D2110115 CLIA NUMBER - KIMBERLY REGENESIS

Laboratory Demographics

CLIA Number: 10D2110115

Facility Name: KIMBERLY REGENESIS

Facility Address:
6290 CORPORATE COURT SUITE C201
FORT MYERS, FL
ZIP 33919
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Facility Phone Number: 239 222-0700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1629127188

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 10D2110115
LAB Type Physician Office
Facility Name KIMBERLY REGENESIS
Street 6290 CORPORATE COURT SUITE C201
City FORT MYERS
State FL
ZIP 33919
Phone 239 222-0700
CertificateType 4
CertificateEffectiveDate 3/9/2024
CertificateExpirationDate 3/8/2026
FacilityType Waiver

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