10D0699232 CLIA NUMBER - GULF COAST PHYSICIAN PARTNERS PA

Laboratory Demographics

  • CLIA Code: 10D0699232
  • Facility Name: GULF COAST PHYSICIAN PARTNERS PA
  • Facility Address: 5907 BERRYHILL RD
    MILTON, FL
    ZIP 32570
  • Facility Phone: (850) 623-9787
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JANET I. LEWIS
  • NPI Number: 1568908242
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D0699232
LAB Type Physician Office
Facility Name GULF COAST PHYSICIAN PARTNERS PA
Street 5907 BERRYHILL RD
City MILTON
State FL
ZIP 32570
Phone 8506239787
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director JANET I. LEWIS

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This page was last updated on: 5/15/2026