10D2168551 CLIA NUMBER - PERFORMANCE HEALTH SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2168551
  • Facility Name: PERFORMANCE HEALTH SURGERY CENTER
  • Facility Address: 9500 GULF RESEARCH LANE
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 314-0660
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES A. BYNUM
  • NPI Number: 1134684814
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2168551
LAB Type Ambulatory Surgery Center
Facility Name PERFORMANCE HEALTH SURGERY CENTER
Street 9500 GULF RESEARCH LANE
City FORT MYERS
State FL
ZIP 33912
Phone 239 314-0660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Ambulatory Surgery Center
Lab Director JAMES A. BYNUM

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