10D2151738 CLIA NUMBER - CARLOS PORTU MD PLLC DBA SHORELINE PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2151738
  • Facility Name: CARLOS PORTU MD PLLC DBA SHORELINE PHYSICIAN GROUP
  • Facility Address: 950 MANATEE RD
    NAPLES, FL
    ZIP 34114
  • Facility Phone: 239 235-7908
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CARLOS PORTU
  • NPI Number: 1275735367
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2151738
LAB Type Physician Office
Facility Name CARLOS PORTU MD PLLC DBA SHORELINE PHYSICIAN GROUP
Street 950 MANATEE RD
City NAPLES
State FL
ZIP 34114
Phone 239 235-7908
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Physician Office
Lab Director CARLOS PORTU

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This page was last updated on: 6/4/2025