Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2211376
|
|
Clinical laboratory number
|
|
Lab Name
|
71020 VENTURES, LLC DBA
|
|
Laboratory Name
|
|
Lab Type
|
End Stage Renal Disease Dialysis Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
239-689-7757
|
|
Laboratory telephone number
|
|
Fax
|
239-689-7817
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
3571 DEL PRADO BOULEVARD NORTH UNIT 11
|
|
Primary location adress line
|
|
City
|
CAPE CORAL
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
33904
|
|
Primary location postal code
|