10D0270432 CLIA NUMBER - NORTH FLORIDA OB/GYN CENTER

Laboratory Demographics

CLIA Number: 10D0270432

Facility Name: NORTH FLORIDA OB/GYN CENTER

Facility Address:
1937 HARRISON AVENUE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 784-6877

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1790832210

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 10D0270432
LAB Type Physician Office
Facility Name NORTH FLORIDA OB/GYN CENTER
Street 1937 HARRISON AVENUE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 784-6877
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024