10D2245583 CLIA NUMBER - LEE HEALTH SYSTEM, INTERNAL MEDICINE RESIDENCY PROGRAM

Laboratory Demographics

  • CLIA Code: 10D2245583
  • Facility Name: LEE HEALTH SYSTEM, INTERNAL MEDICINE RESIDENCY PROGRAM
  • Facility Address: 224 SANTA BARBARA BLVD SUITE 102
    CAPE CORAL, FL
    ZIP 33991
  • Facility Phone: 239 424-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAJA DELIBASIC
  • NPI Number: 1184981656
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2245583
LAB Type Physician Office
Facility Name LEE HEALTH SYSTEM, INTERNAL MEDICINE RESIDENCY PROGRAM
Street 224 SANTA BARBARA BLVD SUITE 102
City CAPE CORAL
State FL
ZIP 33991
Phone 239 424-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director MAJA DELIBASIC

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