10D2227137 CLIA NUMBER - AXEL HEALTH PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2227137
  • Facility Name: AXEL HEALTH PRIMARY CARE LLC
  • Facility Address: 6811 PORTOFINO CIRCLE
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 313-2901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHETTY SUMEET
  • NPI Number: 1578968749
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2227137
LAB Type Physician Office
Facility Name AXEL HEALTH PRIMARY CARE LLC
Street 6811 PORTOFINO CIRCLE
City FORT MYERS
State FL
ZIP 33912
Phone 239 313-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director SHETTY SUMEET

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