10D0271087 CLIA NUMBER - PENSACOLA PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D0271087
  • Facility Name: PENSACOLA PEDIATRICS PA
  • Facility Address: 4951 GRANDE DR
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 473-0100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JESSICA C. EWERT
  • NPI Number: 1013680651
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0271087
LAB Type Physician Office
Facility Name PENSACOLA PEDIATRICS PA
Street 4951 GRANDE DR
City PENSACOLA
State FL
ZIP 32504
Phone 850 473-0100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director JESSICA C. EWERT

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