10D2266620 CLIA NUMBER - JAG REDEFINED HEALTHCARE DBA SOLEIL HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 10D2266620
  • Facility Name: JAG REDEFINED HEALTHCARE DBA SOLEIL HEALTH AND WELLNESS
  • Facility Address: 840 111TH AVE N STE 10
    NAPLES, FL
    ZIP 34108
  • Facility Phone: 239 913-7242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA M. GONZALEZ
  • NPI Number: 1639805823
  • Taxonomy: 363LP2300X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2266620
LAB Type Physician Office
Facility Name JAG REDEFINED HEALTHCARE DBA SOLEIL HEALTH AND WELLNESS
Street 840 111TH AVE N STE 10
City NAPLES
State FL
ZIP 34108
Phone 239 913-7242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director LISA M. GONZALEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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