10D2326931 CLIA NUMBER - COASTAL PRIMECARE FL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D2326931
  • Facility Name: COASTAL PRIMECARE FL GROUP INC
  • Facility Address: 8291 DANI DRIVE SUITE 100
    FORT MYERS, FL
    ZIP 33966
  • Facility Phone: 239 264-7022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OWUSU SAKYI AGYEKUM
  • NPI Number: 1093308355
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2326931
LAB Type Physician Office
Facility Name COASTAL PRIMECARE FL GROUP INC
Street 8291 DANI DRIVE SUITE 100
City FORT MYERS
State FL
ZIP 33966
Phone 239 264-7022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director OWUSU SAKYI AGYEKUM

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