10D0271191 CLIA NUMBER - PENSACOLA PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D0271191
  • Facility Name: PENSACOLA PRIMARY CARE INC
  • Facility Address: 4910 N 12TH AVE
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 969-2001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOE A. DUNN
  • NPI Number: 1629114426
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOE A. DUNN

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