10D0271665 CLIA NUMBER - SANTA ROSA MEDICAL CENTER CLINICAL LAB

Laboratory Demographics

CLIA Number: 10D0271665

Facility Name: SANTA ROSA MEDICAL CENTER CLINICAL LAB

Facility Address:
6002 BERRYHILL RD
MILTON, FL
ZIP 32570
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Facility Phone Number: 850 626-5090

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1316097520

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D0271665
LAB Type	Hospital
Facility Name	SANTA ROSA MEDICAL CENTER CLINICAL LAB
Street	6002 BERRYHILL RD
City	MILTON
State	FL
ZIP	32570
Phone	850 626-5090
CertificateType	1
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Accreditation

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