CLIA lab

CLIA 10D1069097: Richard R Wilson DO

Estero, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1069097 belongs to Richard R Wilson DO in Estero, FL.

Certificate of Waiver, effective May 29, 2025, expires May 28, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 29, 2025
Certificate expiration
May 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 29, 2007
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D1069097
Lab name
Richard R Wilson DO
Address
9250 Corkscrew Rd Ste 5, Estero, FL 33928
Phone
(239) 949-1212
Fax
(239) 949-0587

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Estero, FL

Related

Questions

What is the CLIA number for Richard R Wilson DO in Estero?

10D1069097, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Richard R Wilson DO hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1069097 expire?

The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.

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