10D0271506 CLIA NUMBER - HCA FLORIDA FORT WALTON-DESTIN HOSPITAL CLINICAL LABORATORY

Laboratory Demographics

CLIA Number: 10D0271506

Facility Name: HCA FLORIDA FORT WALTON-DESTIN HOSPITAL CLINICAL LABORATORY

Facility Address:
1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
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Facility Phone Number: 850 314-7011

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1710522602

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	10D0271506
LAB Type	Hospital
Facility Name	HCA FLORIDA FORT WALTON-DESTIN HOSPITAL CLINICAL LABORATORY
Street	1000 MAR WALT DR
City	FORT WALTON BEACH
State	FL
ZIP	32547
Phone	850 314-7011
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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