10D2176287 CLIA NUMBER - PREMIER MEDICAL CONCIERGE

Laboratory Demographics

  • CLIA Code: 10D2176287
  • Facility Name: PREMIER MEDICAL CONCIERGE
  • Facility Address: 9655 TAMIAMI TRAIL N SUITE 202
    NAPLES, FL
    ZIP 34108
  • Facility Phone: 239 631-6780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH P. BANDEIRA
  • NPI Number: 1841847597
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2176287
LAB Type Physician Office
Facility Name PREMIER MEDICAL CONCIERGE
Street 9655 TAMIAMI TRAIL N SUITE 202
City NAPLES
State FL
ZIP 34108
Phone 239 631-6780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director JOSEPH P. BANDEIRA

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