10D2245206 CLIA NUMBER - IMC FL LLC

Laboratory Demographics

  • CLIA Code: 10D2245206
  • Facility Name: IMC FL LLC
  • Facility Address: 9918 GULF COAST MAIN STEET STE 100
    FORT MYERS, FL
    ZIP 33913
  • Facility Phone: 239 846-9362
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VAISHALI GEIB
  • NPI Number: 1982353934
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2245206
LAB Type Physician Office
Facility Name IMC FL LLC
Street 9918 GULF COAST MAIN STEET STE 100
City FORT MYERS
State FL
ZIP 33913
Phone 239 846-9362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director VAISHALI GEIB

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