10D0697730 CLIA NUMBER - PANAMA CITY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D0697730
  • Facility Name: PANAMA CITY DIALYSIS CENTER
  • Facility Address: 615 HWY 231
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 785-1233
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD WALKER
  • NPI Number: 1427026756
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0697730
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PANAMA CITY DIALYSIS CENTER
Street 615 HWY 231
City PANAMA CITY
State FL
ZIP 32405
Phone 850 785-1233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD WALKER

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This page was last updated on: 3/20/2025