10D2246166 CLIA NUMBER - SUNRISE MEDCARE CENTER INC

Laboratory Demographics

CLIA Number: 10D2246166

Facility Name: SUNRISE MEDCARE CENTER INC

Facility Address:
80 WILSON BLVD S - STE 11
NAPLES, FL
ZIP 34117
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Facility Phone Number: 239 208-5390

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730844549

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2246166
LAB Type	Physician Office
Facility Name	SUNRISE MEDCARE CENTER INC
Street	80 WILSON BLVD S - STE 11
City	NAPLES
State	FL
ZIP	34117
Phone	239 208-5390
CertificateType	4
CertificateEffectiveDate	12/21/2023
CertificateExpirationDate	12/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024