10D2305827 CLIA NUMBER - ONSITE MOBILE LAB SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2305827
  • Facility Name: ONSITE MOBILE LAB SERVICES LLC
  • Facility Address: 18308 MINOREA LANE
    LEHIGH ACRES, FL
    ZIP 33936
  • Facility Phone: 239 355-8717
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SHAWNA L. KNOWLES
  • NPI Number: 1083437271
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2305827
LAB Type Mobile Laboratory
Facility Name ONSITE MOBILE LAB SERVICES LLC
Street 18308 MINOREA LANE
City LEHIGH ACRES
State FL
ZIP 33936
Phone 239 355-8717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Mobile Laboratory
Lab Director SHAWNA L. KNOWLES

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This page was last updated on: 6/4/2025