10D2323680 CLIA NUMBER - DOVE BEHAVIORAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2323680
  • Facility Name: DOVE BEHAVIORAL HEALTH LLC
  • Facility Address: 24301 WALDEN CENTER DRIVE, SUITE 103
    BONITA SPRINGS, FL
    ZIP 34134
  • Facility Phone: 239 445-3683
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JOSE CROSSIER
  • NPI Number: 1457035008
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2323680
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DOVE BEHAVIORAL HEALTH LLC
Street 24301 WALDEN CENTER DRIVE, SUITE 103
City BONITA SPRINGS
State FL
ZIP 34134
Phone 239 445-3683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOSE CROSSIER

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