10D2304979 CLIA NUMBER - FCHP CARES CORP

Laboratory Demographics

  • CLIA Code: 10D2304979
  • Facility Name: FCHP CARES CORP
  • Facility Address: 8140 COLLEGE PKWY - STE 101
    FORT MYERS, FL
    ZIP 33919
  • Facility Phone: 239 202-8128
  • Facility Type: Other - MOBILE UNIT
  • Facility Type: Waiver
  • Lab Director: KATIE JOHNSON
  • NPI Number: 1073312252
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2304979
LAB Type Other - MOBILE UNIT
Facility Name FCHP CARES CORP
Street 8140 COLLEGE PKWY - STE 101
City FORT MYERS
State FL
ZIP 33919
Phone 239 202-8128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Other - MOBILE UNIT
Lab Director KATIE JOHNSON

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