10D2114335 CLIA NUMBER - CASTILLOS MD SERVICES

Laboratory Demographics

  • CLIA Code: 10D2114335
  • Facility Name: CASTILLOS MD SERVICES
  • Facility Address: 1530 LEE BLVD STE 1400
    LEHIGH ACRES, FL
    ZIP 33936
  • Facility Phone: 239 369-2749
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGARDO CASTILLO
  • NPI Number: 1922455104
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2114335
LAB Type Physician Office
Facility Name CASTILLOS MD SERVICES
Street 1530 LEE BLVD STE 1400
City LEHIGH ACRES
State FL
ZIP 33936
Phone 239 369-2749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director EDGARDO CASTILLO

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