10D2286651 CLIA NUMBER - INNOVATIVE INFUSIONS LLC

Laboratory Demographics

  • CLIA Code: 10D2286651
  • Facility Name: INNOVATIVE INFUSIONS LLC
  • Facility Address: 16431 CORPORATE COMMERCE WAY STE 106
    FORT MYERS, FL
    ZIP 33913
  • Facility Phone: 239 722-5022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACKI REED
  • NPI Number: 1699428490
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2286651
LAB Type Physician Office
Facility Name INNOVATIVE INFUSIONS LLC
Street 16431 CORPORATE COMMERCE WAY STE 106
City FORT MYERS
State FL
ZIP 33913
Phone 239 722-5022
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 REED

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