10D2260296 CLIA NUMBER - PREVENT RX 2, LLC

Laboratory Demographics

  • CLIA Code: 10D2260296
  • Facility Name: PREVENT RX 2, LLC
  • Facility Address: 3677 CENTRAL AVE STE A
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 243-9025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWIN RODRIGUEZ
  • NPI Number: 1265065783
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2260296
LAB Type Pharmacy
Facility Name PREVENT RX 2, LLC
Street 3677 CENTRAL AVE STE A
City FORT MYERS
State FL
ZIP 33901
Phone 239 243-9025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Pharmacy
Lab Director EDWIN RODRIGUEZ

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