10D2136945 CLIA NUMBER - JENS CHRISTIAN CARLSEN DO PLLC

Laboratory Demographics

  • CLIA Code: 10D2136945
  • Facility Name: JENS CHRISTIAN CARLSEN DO PLLC
  • Facility Address: 2525 HARBOR BLVD STE 301
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 421-0756
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENS C. CARLSEN
  • NPI Number: 1437697646
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2136945
LAB Type Physician Office
Facility Name JENS CHRISTIAN CARLSEN DO PLLC
Street 2525 HARBOR BLVD STE 301
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 421-0756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director JENS C. CARLSEN

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