10D2281662 CLIA NUMBER - PRONTO DIAGNOSTIC, LLC

Laboratory Demographics

CLIA Number: 10D2281662

Facility Name: PRONTO DIAGNOSTIC, LLC

Facility Address:
1222 SE 47TH ST C-1
CAPE CORAL, FL
ZIP 33904
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Facility Phone Number: 662 417-3401

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1518673755

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2281662
LAB Type	Community Clinic
Facility Name	PRONTO DIAGNOSTIC, LLC
Street	1222 SE 47TH ST C-1
City	CAPE CORAL
State	FL
ZIP	33904
Phone	662 417-3401
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024