10D2191652 CLIA NUMBER - MD NOW MEDICAL CENTERS INC

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Laboratory Demographics

CLIA Number: 10D2191652

Facility Name: MD NOW MEDICAL CENTERS INC

Facility Address:
12748 S CLEVELAND AVE STE 102
FORT MYERS, FL
ZIP 33907
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Facility Phone Number: 239 491-7496

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386253151

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2191652
LAB Type	Physician Office
Facility Name	MD NOW MEDICAL CENTERS INC
Street	12748 S CLEVELAND AVE STE 102
City	FORT MYERS
State	FL
ZIP	33907
Phone	239 491-7496
CertificateType	4
CertificateEffectiveDate	8/31/2022
CertificateExpirationDate	8/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024