10D2157152 CLIA NUMBER - PRIMARY CARE AT LEHIGH

Laboratory Demographics

  • CLIA Code: 10D2157152
  • Facility Name: PRIMARY CARE AT LEHIGH
  • Facility Address: 5705 LEE BLVD SUITE 1 & 2
    LEHIGH ACRES, FL
    ZIP 33971
  • Facility Phone: 239 343-1800
  • Facility Type: Other - HOSPITAL OUTPATIENT DEPT
  • Facility Type: Waiver
  • Lab Director: JULIANA O. ODETUNDE
  • NPI Number: 1750830600
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2157152
LAB Type Other - HOSPITAL OUTPATIENT DEPT
Facility Name PRIMARY CARE AT LEHIGH
Street 5705 LEE BLVD SUITE 1 & 2
City LEHIGH ACRES
State FL
ZIP 33971
Phone 239 343-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Other - HOSPITAL OUTPATIENT DEPT
Lab Director JULIANA O. ODETUNDE

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