10D2134736 CLIA NUMBER - CYPRESS PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2134736
  • Facility Name: CYPRESS PHARMACY
  • Facility Address: 9451 CYPRESS LAKE DRIVE
    FORT MYERS, FL
    ZIP 33919
  • Facility Phone: 239 481-7322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN CERAVOLO
  • NPI Number: 1487739215
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2134736
LAB Type Pharmacy
Facility Name CYPRESS PHARMACY
Street 9451 CYPRESS LAKE DRIVE
City FORT MYERS
State FL
ZIP 33919
Phone 239 481-7322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Pharmacy
Lab Director JUSTIN CERAVOLO

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