10D0910644 CLIA NUMBER - ENDOSCOPY CENTER OF PENSACOLA

Laboratory Demographics

CLIA Number: 10D0910644

Facility Name: ENDOSCOPY CENTER OF PENSACOLA

Facility Address:
4810 NORTH DAVIS HWY
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 850 474-8988

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1386730950

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0910644
LAB Type	Ambulatory Surgery Center
Facility Name	ENDOSCOPY CENTER OF PENSACOLA
Street	4810 NORTH DAVIS HWY
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 474-8988
CertificateType	4
CertificateEffectiveDate	1/17/2024
CertificateExpirationDate	1/16/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024