10D2161284 CLIA NUMBER - EKC MEDICAL SERVICES, PA

Laboratory Demographics

  • CLIA Code: 10D2161284
  • Facility Name: EKC MEDICAL SERVICES, PA
  • Facility Address: 290 NICHOLAS PKWY NW - STE 1
    CAPE CORAL, FL
    ZIP 33991
  • Facility Phone: 239 573-1152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHANNA ALVAREZ
  • NPI Number: 1396217865
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2161284
LAB Type Physician Office
Facility Name EKC MEDICAL SERVICES, PA
Street 290 NICHOLAS PKWY NW - STE 1
City CAPE CORAL
State FL
ZIP 33991
Phone 239 573-1152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director JOHANNA ALVAREZ

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