10D2278614 CLIA NUMBER - HOUSE OF MERCY CORP, THE

Laboratory Demographics

  • CLIA Code: 10D2278614
  • Facility Name: HOUSE OF MERCY CORP, THE
  • Facility Address: 2804 DEL PRADO BLVD S UNIT 104
    CAPE CORAL, FL
    ZIP 33904
  • Facility Phone: 239 673-7126
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JUAN GUEVARA
  • NPI Number: 1821551243
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2278614
LAB Type Home Health Agency
Facility Name HOUSE OF MERCY CORP, THE
Street 2804 DEL PRADO BLVD S UNIT 104
City CAPE CORAL
State FL
ZIP 33904
Phone 239 673-7126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Home Health Agency
Lab Director JUAN GUEVARA

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