10D2302733 CLIA NUMBER - PRECISION HEALTHCARE SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 10D2302733
  • Facility Name: PRECISION HEALTHCARE SPECIALISTS LLC
  • Facility Address: 1206 COUNTRY CLUB BLVD
    CAPE CORAL, FL
    ZIP 33990
  • Facility Phone: 239 226-2727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO J. MIRANDA-SOUSA
  • NPI Number: 1548055650
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2302733
LAB Type Physician Office
Facility Name PRECISION HEALTHCARE SPECIALISTS LLC
Street 1206 COUNTRY CLUB BLVD
City CAPE CORAL
State FL
ZIP 33990
Phone 239 226-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director ALEJANDRO J. MIRANDA-SOUSA

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