10D2179691 CLIA NUMBER - WHITE SANDS OUTPATIENT SERVICES (WSOP SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2179691
  • Facility Name: WHITE SANDS OUTPATIENT SERVICES (WSOP SERVICES LLC
  • Facility Address: 1820 COLONIAL BLVD
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 239 895-0610
  • Facility Type: Other - OUTPATIENT SUBSTANCE ABUS
  • Facility Type: Waiver
  • Lab Director: HOWARD LAYMAN
  • NPI Number: 1932515889
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2179691
LAB Type Other - OUTPATIENT SUBSTANCE ABUS
Facility Name WHITE SANDS OUTPATIENT SERVICES (WSOP SERVICES LLC
Street 1820 COLONIAL BLVD
City FORT MYERS
State FL
ZIP 33907
Phone 239 895-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - OUTPATIENT SUBSTANCE ABUS
Lab Director HOWARD LAYMAN

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