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

Laboratory Demographics

  • CLIA Code: 10D2215409
  • Facility Name: BONITA SPRINGS FIRE CONTROL AND RESCUE DISTRICT
  • Facility Address: 27701 BONITA GRANDE DR
    BONITA SPRINGS, FL
    ZIP 34135
  • Facility Phone: 239 390-7959
  • Facility Type: Other - FIRE DEPARTMENT
  • Facility Type: Waiver
  • Lab Director: GREGORY L. DEWITT
  • NPI Number: 1609105980
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2215409
LAB Type Other - FIRE DEPARTMENT
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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Other - FIRE DEPARTMENT
Lab Director GREGORY L. DEWITT

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