10D2112528 CLIA NUMBER - AESTHETIC PLASTIC SURGERY AND MED SPA OF NAPLES

Laboratory Demographics

  • CLIA Code: 10D2112528
  • Facility Name: AESTHETIC PLASTIC SURGERY AND MED SPA OF NAPLES
  • Facility Address: 3699 AIRPORT PULLING RD N
    NAPLES, FL
    ZIP 34105
  • Facility Phone: 239 262-5662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENT HASEN
  • NPI Number: 1902191448
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2112528
LAB Type Physician Office
Facility Name AESTHETIC PLASTIC SURGERY AND MED SPA OF NAPLES
Street 3699 AIRPORT PULLING RD N
City NAPLES
State FL
ZIP 34105
Phone 239 262-5662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director KENT HASEN

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