10D0270781 CLIA NUMBER - JACKSON HOSPITAL CLINICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 10D0270781
  • Facility Name: JACKSON HOSPITAL CLINICAL LABORATORY
  • Facility Address: 4250 HOSPITAL DR
    MARIANNA, FL
    ZIP 32446
  • Facility Phone: 850 718-2509
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. STEPHEN SGAN
  • NPI Number: 1649311507
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 10D0270781
LAB Type Hospital
Facility Name JACKSON HOSPITAL CLINICAL LABORATORY
Street 4250 HOSPITAL DR
City MARIANNA
State FL
ZIP 32446
Phone 850 718-2509
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. STEPHEN SGAN

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This page was last updated on: 9/29/2025