10D2297541 CLIA NUMBER - C&C MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2297541
  • Facility Name: C&C MEDICAL GROUP LLC
  • Facility Address: 1575 PINE RIDGE ROAD STE 21
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 239 422-7097
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE CARDOSO
  • NPI Number: 1548940703
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2297541
LAB Type Physician Office
Facility Name C&C MEDICAL GROUP LLC
Street 1575 PINE RIDGE ROAD STE 21
City NAPLES
State FL
ZIP 34109
Phone 239 422-7097
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 JOSE CARDOSO

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