10D2286645 CLIA NUMBER - INNOVATIVE INFUSIONS LLC

Laboratory Demographics

  • CLIA Code: 10D2286645
  • Facility Name: INNOVATIVE INFUSIONS LLC
  • Facility Address: 1523 NE PINE ISLAND RD STE 120
    CAPE CORAL, FL
    ZIP 33909
  • Facility Phone: (239) 236-2695
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACKI T. REED
  • NPI Number: 1174232326
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2286645
LAB Type Physician Office
Facility Name INNOVATIVE INFUSIONS LLC
Street 1523 NE PINE ISLAND RD STE 120
City CAPE CORAL
State FL
ZIP 33909
Phone 2392362695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director JACKI T. REED

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This page was last updated on: 5/18/2026