10D2327567 CLIA NUMBER - SKIN O'CLOCK AESTHETICS LLC

Laboratory Demographics

  • CLIA Code: 10D2327567
  • Facility Name: SKIN O'CLOCK AESTHETICS LLC
  • Facility Address: 4531 DELEON ST STE 212
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 786 223-2520
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: WENDY CASTELLANOS
  • NPI Number: 1518854025
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2327567
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SKIN O'CLOCK AESTHETICS LLC
Street 4531 DELEON ST STE 212
City FORT MYERS
State FL
ZIP 33907
Phone 786 223-2520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director WENDY CASTELLANOS

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