10D0271071 CLIA NUMBER - PENSACOLA LUNG GROUP

Laboratory Demographics

CLIA Number: 10D0271071

Facility Name: PENSACOLA LUNG GROUP

Facility Address:
4700 BAYOU BLVD STE 6
PENSACOLA, FL
ZIP 32503
Get Directions

Facility Phone Number: 850 477-9253

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619196151

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	10D0271071
LAB Type	Physician Office
Facility Name	PENSACOLA LUNG GROUP
Street	4700 BAYOU BLVD STE 6
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 477-9253
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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