10D2292135 CLIA NUMBER - ADVANCED SURGICAL CARE OF FORT MYERS LLC

Laboratory Demographics

  • CLIA Code: 10D2292135
  • Facility Name: ADVANCED SURGICAL CARE OF FORT MYERS LLC
  • Facility Address: 13195 METRO PKWY UNIT 12-16
    FORT MYERS, FL
    ZIP 33966
  • Facility Phone: (239) 322-9527
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER DENK
  • NPI Number: 1932884772
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2292135
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGICAL CARE OF FORT MYERS LLC
Street 13195 METRO PKWY UNIT 12-16
City FORT MYERS
State FL
ZIP 33966
Phone 2393229527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Ambulatory Surgery Center
Lab Director PETER DENK

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