10D2215630 CLIA NUMBER - ANTHONY J WILLIAMITIS

Laboratory Demographics

  • CLIA Code: 10D2215630
  • Facility Name: ANTHONY J WILLIAMITIS
  • Facility Address: 9200 BONITA BEACH ROAD, SUITE 105
    BONITA SPRINGS, FL
    ZIP 34135
  • Facility Phone: 239 947-6808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. WILLIAMITIS
  • NPI Number: 1033289103
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2215630
LAB Type Physician Office
Facility Name ANTHONY J WILLIAMITIS
Street 9200 BONITA BEACH ROAD, SUITE 105
City BONITA SPRINGS
State FL
ZIP 34135
Phone 239 947-6808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director ANTHONY J. WILLIAMITIS

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