10D2273628 CLIA NUMBER - COMMUNITY BEHAVIORAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2273628
  • Facility Name: COMMUNITY BEHAVIORAL HEALTH, LLC
  • Facility Address: 3501 DEL PRADO BLVD S - STE 303
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 317-0265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL DIAZ
  • NPI Number: 1649733544
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2273628
LAB Type Physician Office
Facility Name COMMUNITY BEHAVIORAL HEALTH, LLC
Street 3501 DEL PRADO BLVD S - STE 303
City CAPE CORAL
State FL
ZIP 33904
Phone 239 317-0265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director MIGUEL DIAZ

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This page was last updated on: 6/4/2025