10D0678218 CLIA NUMBER - PRIMARY CARE CENTER OF LYNN HAVEN

Laboratory Demographics

  • CLIA Code: 10D0678218
  • Facility Name: PRIMARY CARE CENTER OF LYNN HAVEN
  • Facility Address: 825 FLORIDA AVE
    LYNN HAVEN, FL
    ZIP 32444
  • Facility Phone: 850 265-3686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOHAIL KHAN
  • NPI Number: 1306803556
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0678218
LAB Type Physician Office
Facility Name PRIMARY CARE CENTER OF LYNN HAVEN
Street 825 FLORIDA AVE
City LYNN HAVEN
State FL
ZIP 32444
Phone 850 265-3686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director SOHAIL KHAN

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