SOUTHWEST GENERAL HEALTHCARE CENTER CORP
NPI 1487030870
Clinic/Center in Fort Myers, FL
- Organization
- Clinic/Center
- CLIA Number: 10D2104250
- CLIA Cert. Type: Other - COMMUNITY HEALTH CARE CEN
- CLIA Exp. Date: 10-29-2027
About SOUTHWEST GENERAL HEALTHCARE CENTER CORP
This page provides the complete NPI Profile along with additional information for Southwest General Healthcare Center Corp, a provider established in Fort Myers, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1487030870 assigned on August 2015. The practitioner's primary taxonomy code is 261Q00000X with license number EXEMPT (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Yoel A Santana (Owner, President)
- NPI
- 1487030870 Verify this NPI
- Provider Name
- SOUTHWEST GENERAL HEALTHCARE CENTER CORP
- Entity Type
- Organization
- Location Address
- 29 BARKLEY CIR FORT MYERS, FL 33907
- Location Phone
- (239) 931-3366
- Location Fax
- (239) 931-1262
- Mailing Address
- 29 BARKLEY CIR FORT MYERS, FL 33907
- Mailing Phone
- (239) 931-3366
- Mailing Fax
- (239) 931-1262
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2015
- Last Update Date
- 07-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- EXEMPT
- License State
- FL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2104250
- Facility Type
- Other - COMMUNITY HEALTH CARE CEN
- Certificate Effective Date
- October 30, 2025
- Certificate Expiration Date
- October 29, 2027
- Laboratory Director
- YOEL A. SANTANA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southwest General Healthcare Center Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
FORT MYERS, FL 33907
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487030870, enumerated as an "organization" on August 07, 2015.
The provider is located at 29 BARKLEY CIR FORT MYERS, FL 33907 and the phone number is (239) 931-3366.
Clinic/Center with taxonomy code 261Q00000X.