10D2295127 CLIA NUMBER - COASTAL PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 10D2295127
  • Facility Name: COASTAL PHYSICIANS, INC
  • Facility Address: 4755 SUMMERLIN RD - STE 8
    FORT MYERS, FL
    ZIP 33919
  • Facility Phone: 239 360-2634
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA L. CHAPMAN
  • NPI Number: 1720648355
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2295127
LAB Type Physician Office
Facility Name COASTAL PHYSICIANS, INC
Street 4755 SUMMERLIN RD - STE 8
City FORT MYERS
State FL
ZIP 33919
Phone 239 360-2634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director ERICA L. CHAPMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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