10D2284919 CLIA NUMBER - 360 MEDICAL CENTERS LLC

Laboratory Demographics

  • CLIA Code: 10D2284919
  • Facility Name: 360 MEDICAL CENTERS LLC
  • Facility Address: 3677 CENTRAL AVE, STE B
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 900-4384
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SAHILY ESCALAR
  • NPI Number: 1033863196
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2284919
LAB Type Practitioner Other
Facility Name 360 MEDICAL CENTERS LLC
Street 3677 CENTRAL AVE, STE B
City FORT MYERS
State FL
ZIP 33901
Phone 239 900-4384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Practitioner Other
Lab Director SAHILY ESCALAR

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