CLIA lab

CLIA 10D1078091: Alan L Tannenbaum MD PA

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

CLIA number 10D1078091 belongs to Alan L Tannenbaum MD PA in Fort Myers, FL.

Certificate of Waiver, effective June 17, 2026, expires June 16, 2028.

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
June 17, 2026
Certificate expiration
June 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 2007
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
10D1078091
Lab name
Alan L Tannenbaum MD PA
Address
20 Barkley Cir Ste 101, Fort Myers, FL 33907
Phone
(239) 277-1772
Fax
(239) 277-1331

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Fort Myers, FL

Related

Questions

What is the CLIA number for Alan L Tannenbaum MD PA in Fort Myers?

10D1078091, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Alan L Tannenbaum MD PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1078091 expire?

The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.

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