10D0271191 CLIA NUMBER - PENSACOLA PRIMARY CARE INC

Laboratory Demographics

CLIA Number: 10D0271191

Facility Name: PENSACOLA PRIMARY CARE INC

Facility Address:
4910 N 12TH AVE
PENSACOLA, FL
ZIP 32504
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Facility Phone Number: 850 969-2001

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629114426

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0271191
LAB Type	Physician Office
Facility Name	PENSACOLA PRIMARY CARE INC
Street	4910 N 12TH AVE
City	PENSACOLA
State	FL
ZIP	32504
Phone	850 969-2001
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