10D0918187 CLIA NUMBER - LISA M JUDGE MD

Laboratory Demographics

  • CLIA Code: 10D0918187
  • Facility Name: LISA M JUDGE MD
  • Facility Address: 552 TWIN CITIES BLVD SUITE C
    NICEVILLE, FL
    ZIP 32578
  • Facility Phone: 850 729-1414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA M. JUDGE
  • NPI Number: 1932175973
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0918187
LAB Type Physician Office
Facility Name LISA M JUDGE MD
Street 552 TWIN CITIES BLVD SUITE C
City NICEVILLE
State FL
ZIP 32578
Phone 850 729-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director LISA M. JUDGE

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