10D2169351 CLIA NUMBER - COLLIER HMA PHYSICIAN MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 10D2169351
  • Facility Name: COLLIER HMA PHYSICIAN MANAGEMENT, LLC
  • Facility Address: 4525 THOMASSON DRIVE SUITE 104
    NAPLES, FL
    ZIP 34112
  • Facility Phone: 239 354-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRINA CRISAN
  • NPI Number: 1194393959
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2169351
LAB Type Physician Office
Facility Name COLLIER HMA PHYSICIAN MANAGEMENT, LLC
Street 4525 THOMASSON DRIVE SUITE 104
City NAPLES
State FL
ZIP 34112
Phone 239 354-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director CRINA CRISAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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