10D2210373 CLIA NUMBER - LEE SENIOR SERVICES LLC DBA MEDICAL CARE BY CYPRESS AT HOME

Laboratory Demographics

  • CLIA Code: 10D2210373
  • Facility Name: LEE SENIOR SERVICES LLC DBA MEDICAL CARE BY CYPRESS AT HOME
  • Facility Address: 10200 CYPRESS COVE DRIVE
    FORT MYERS, FL
    ZIP 33908
  • Facility Phone: 239 214-2525
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JIMMY R. LIU
  • NPI Number: 1104423862
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2210373
LAB Type Comp. Outpatient Rehab Facility
Facility Name LEE SENIOR SERVICES LLC DBA MEDICAL CARE BY CYPRESS AT HOME
Street 10200 CYPRESS COVE DRIVE
City FORT MYERS
State FL
ZIP 33908
Phone 239 214-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JIMMY R. LIU

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