10D0915679 CLIA NUMBER - MEDICAL CENTER CLINIC-IMMEDIATE CARE

Laboratory Demographics

CLIA Number: 10D0915679

Facility Name: MEDICAL CENTER CLINIC-IMMEDIATE CARE

Facility Address:
8333 N DAVIS HWY
PENSACOLA, FL
ZIP 32514
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Facility Phone Number: 850 474-8000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1568452688

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0915679
LAB Type	Physician Office
Facility Name	MEDICAL CENTER CLINIC-IMMEDIATE CARE
Street	8333 N DAVIS HWY
City	PENSACOLA
State	FL
ZIP	32514
Phone	850 474-8000
CertificateType	3
CertificateEffectiveDate	6/4/2022
CertificateExpirationDate	6/3/2024
FacilityType	PPMP

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