10D2209138 CLIA NUMBER - QUALITY MEDICAL SERVICES NETWORK, LLC

Laboratory Demographics

  • CLIA Code: 10D2209138
  • Facility Name: QUALITY MEDICAL SERVICES NETWORK, LLC
  • Facility Address: 12480 BRANTLEY COMMONS CT
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 239 210-0928
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KAYLA D. PUDLIN HARM
  • NPI Number: 1235472911
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2209138
LAB Type Home Health Agency
Facility Name QUALITY MEDICAL SERVICES NETWORK, LLC
Street 12480 BRANTLEY COMMONS CT
City FORT MYERS
State FL
ZIP 33907
Phone 239 210-0928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Home Health Agency
Lab Director KAYLA D. PUDLIN HARM

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