10D0887734 CLIA NUMBER - PENSACOLA PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D0887734
  • Facility Name: PENSACOLA PRIMARY CARE INC
  • Facility Address: 7458 PINE FOREST RD
    PENSACOLA, FL
    ZIP 32526
  • Facility Phone: 850 944-2816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER RUSH
  • NPI Number: 1568451029
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0887734
LAB Type Physician Office
Facility Name PENSACOLA PRIMARY CARE INC
Street 7458 PINE FOREST RD
City PENSACOLA
State FL
ZIP 32526
Phone 850 944-2816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director CHRISTOPHER RUSH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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