10D2297538 CLIA NUMBER - BLUE CONCIERGE MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2297538
  • Facility Name: BLUE CONCIERGE MEDICINE LLC
  • Facility Address: 671 GOODLETTE FRANK RD
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 239 610-1230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA A. MIKNAITIS
  • NPI Number: 1659046498
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2297538
LAB Type Physician Office
Facility Name BLUE CONCIERGE MEDICINE LLC
Street 671 GOODLETTE FRANK RD
City NAPLES
State FL
ZIP 34102
Phone 239 610-1230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director REBECCA A. MIKNAITIS

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