10D2265514 CLIA NUMBER - SUN COAST SURGICAL SUITES LLC

Laboratory Demographics

  • CLIA Code: 10D2265514
  • Facility Name: SUN COAST SURGICAL SUITES LLC
  • Facility Address: 12731 NEW BRITTANY BOULEVARD
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 954 906-9536
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD G. DRUCKER
  • NPI Number: 1043955693
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2265514
LAB Type Ambulatory Surgery Center
Facility Name SUN COAST SURGICAL SUITES LLC
Street 12731 NEW BRITTANY BOULEVARD
City FORT MYERS
State FL
ZIP 33907
Phone 954 906-9536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD G. DRUCKER

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