10D2158380 CLIA NUMBER - LEE HEALTH COCONUT POINT CARDIAC REHABILITATION

Laboratory Demographics

  • CLIA Code: 10D2158380
  • Facility Name: LEE HEALTH COCONUT POINT CARDIAC REHABILITATION
  • Facility Address: 23450 VIA COCONUT POINT
    BONITA SPRINGS, FL
    ZIP 34135
  • Facility Phone: 239 343-2095
  • Facility Type: Other - OP DEPT OF HOSPITAL
  • Facility Type: Waiver
  • Lab Director: MARION HARRIS-BARTER
  • NPI Number: 1922790641
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2158380
LAB Type Other - OP DEPT OF HOSPITAL
Facility Name LEE HEALTH COCONUT POINT CARDIAC REHABILITATION
Street 23450 VIA COCONUT POINT
City BONITA SPRINGS
State FL
ZIP 34135
Phone 239 343-2095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Other - OP DEPT OF HOSPITAL
Lab Director MARION HARRIS-BARTER

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