10D2169353 CLIA NUMBER - COLLIER HMA PHYSICIAN MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 10D2169353
  • Facility Name: COLLIER HMA PHYSICIAN MANAGEMENT, LLC
  • Facility Address: 1839 SAN MARCO RD LAB A
    MARCO ISLAND, FL
    ZIP 34145
  • Facility Phone: 239 348-4533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO CABRERA
  • NPI Number: 1386700375
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2169353
LAB Type Physician Office
Facility Name COLLIER HMA PHYSICIAN MANAGEMENT, LLC
Street 1839 SAN MARCO RD LAB A
City MARCO ISLAND
State FL
ZIP 34145
Phone 239 348-4533
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 EDUARDO CABRERA

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