10D2315819 CLIA NUMBER - JC PRIVATE NURSING SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2315819
  • Facility Name: JC PRIVATE NURSING SERVICES LLC
  • Facility Address: 1008 ROBERT AVE
    LEHIGH ACRES, FL
    ZIP 33936
  • Facility Phone: 239 476-2169
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JUANA E. CASTANEDA
  • NPI Number: 1275214769
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 10D2315819
LAB Type Mobile Laboratory
Facility Name JC PRIVATE NURSING SERVICES LLC
Street 1008 ROBERT AVE
City LEHIGH ACRES
State FL
ZIP 33936
Phone 239 476-2169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Mobile Laboratory
Lab Director JUANA E. CASTANEDA

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