10D2298258 CLIA NUMBER - PRISMA RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2298258
  • Facility Name: PRISMA RECOVERY CENTER LLC
  • Facility Address: 7205 CYPRESS DR
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: (561) 251-7404
  • Facility Type: Other - DETOXIFICATION CENTER
  • Facility Type: Waiver
  • Lab Director: CRYSTAL DONATO
  • NPI Number: 1093587685
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2298258
LAB Type Other - DETOXIFICATION CENTER
Facility Name PRISMA RECOVERY CENTER LLC
Street 7205 CYPRESS DR
City FORT MYERS
State FL
ZIP 33907
Phone 5612517404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2026
Certificate Expiration Date 1/30/2028
Facility Type Other - DETOXIFICATION CENTER
Lab Director CRYSTAL DONATO

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