10D2140677 CLIA NUMBER - MD NOW MEDICAL CENTERS, INC

Laboratory Demographics

CLIA Number: 10D2140677

Facility Name: MD NOW MEDICAL CENTERS, INC

Facility Address:
19985 S TAMIAMI TRAIL
ESTERO, FL
ZIP 33928
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Facility Phone Number: 239 495-3317

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114437589

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2140677
LAB Type	Physician Office
Facility Name	MD NOW MEDICAL CENTERS, INC
Street	19985 S TAMIAMI TRAIL
City	ESTERO
State	FL
ZIP	33928
Phone	239 495-3317
CertificateType	4
CertificateEffectiveDate	11/28/2023
CertificateExpirationDate	11/27/2025
FacilityType	Waiver

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