10D2121641 CLIA NUMBER - MD NOW MEDICAL CENTERS, INC

Laboratory Demographics

CLIA Number: 10D2121641

Facility Name: MD NOW MEDICAL CENTERS, INC

Facility Address:
12375 S CLEVELAND AVE
FORT MYERS, FL
ZIP 33907
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Facility Phone Number: 239 936-2013

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316398118

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2121641
LAB Type	Physician Office
Facility Name	MD NOW MEDICAL CENTERS, INC
Street	12375 S CLEVELAND AVE
City	FORT MYERS
State	FL
ZIP	33907
Phone	239 936-2013
CertificateType	4
CertificateEffectiveDate	11/10/2022
CertificateExpirationDate	11/9/2024
FacilityType	Waiver

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