10D0725485 CLIA NUMBER - CHIPOLA HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 10D0725485
  • Facility Name: CHIPOLA HEALTH AND REHABILITATION CENTER
  • Facility Address: 4294 3RD AVENUE
    MARIANNA, FL
    ZIP 32446
  • Facility Phone: 850 526-3191
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. HUDSON
  • NPI Number: 1518127059
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0725485
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHIPOLA HEALTH AND REHABILITATION CENTER
Street 4294 3RD AVENUE
City MARIANNA
State FL
ZIP 32446
Phone 850 526-3191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WILLIAM A. HUDSON

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