10D2290583 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 10D2290583
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 4429 CLEVELAND AVE - STE 110
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 387-0190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM GIANG
  • NPI Number: 1578347068
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2290583
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 4429 CLEVELAND AVE - STE 110
City FORT MYERS
State FL
ZIP 33901
Phone 239 387-0190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director WILLIAM GIANG

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