10D2215409 CLIA NUMBER - BONITA SPRINGS FIRE CONTROL AND RESCUE DISTRICT

Laboratory Demographics

CLIA Number: 10D2215409

Facility Name: BONITA SPRINGS FIRE CONTROL AND RESCUE DISTRICT

Facility Address:
27701 BONITA GRANDE DR
BONITA SPRINGS, FL
ZIP 34135
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Facility Phone Number: (239) 390-7959

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1609105980

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2215409
LAB Type	OTHER
Facility Name	BONITA SPRINGS FIRE CONTROL AND RESCUE DISTRICT
Street	27701 BONITA GRANDE DR
City	BONITA SPRINGS
State	FL
ZIP	34135
Phone	(239) 390-7959

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This page was last updated on: 5/11/2023