10D2142219 CLIA NUMBER - DEL PRADO MEDICAL CENTER, INC

Laboratory Demographics

CLIA Number: 10D2142219

Facility Name: DEL PRADO MEDICAL CENTER, INC

Facility Address:
2500 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33904
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Facility Phone Number: (239) 772-1194

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1982855359

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2142219
LAB Type	PHYSICIAN OFFICE
Facility Name	DEL PRADO MEDICAL CENTER, INC
Street	2500 DEL PRADO BLVD S
City	CAPE CORAL
State	FL
ZIP	33904
Phone	(239) 772-1194

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This page was last updated on: 5/11/2023