10D2145007 CLIA NUMBER - MEDICAL CENTRAL, LLC

Laboratory Demographics

  • CLIA Code: 10D2145007
  • Facility Name: MEDICAL CENTRAL, LLC
  • Facility Address: 114 DEL PRADO BLVD S - STE 100
    CAPE CORAL, FL
    ZIP 33990
  • Facility Phone: 239 471-2874
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIA RODRIGUEZ
  • NPI Number: 1134628951
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2145007
LAB Type Physician Office
Facility Name MEDICAL CENTRAL, LLC
Street 114 DEL PRADO BLVD S - STE 100
City CAPE CORAL
State FL
ZIP 33990
Phone 239 471-2874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director ANIA RODRIGUEZ

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