10D0270539 CLIA NUMBER - WILLIAM J FLYNN MD PA

Laboratory Demographics

CLIA Number: 10D0270539

Facility Name: WILLIAM J FLYNN MD PA

Facility Address:
2211 HARRISON AVENUE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 763-2555

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275537060

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	10D0270539
LAB Type	Physician Office
Facility Name	WILLIAM J FLYNN MD PA
Street	2211 HARRISON AVENUE
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 763-2555
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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