10D2121812 CLIA NUMBER - TRITEL CONCIERGE MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2121812
  • Facility Name: TRITEL CONCIERGE MEDICINE
  • Facility Address: 6846 INTERNATIONAL CENTER BLVD STE A
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 218-5662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL TRITEL
  • NPI Number: 1396366985
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2121812
LAB Type Physician Office
Facility Name TRITEL CONCIERGE MEDICINE
Street 6846 INTERNATIONAL CENTER BLVD STE A
City FORT MYERS
State FL
ZIP 33912
Phone 239 218-5662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director PAUL TRITEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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