10D0940290 CLIA NUMBER - EMERALD COAST BEHAVIORAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 10D0940290
  • Facility Name: EMERALD COAST BEHAVIORAL HOSPITAL
  • Facility Address: 1940 HARRISON AVE
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 763-0017
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: TIFFANI EVANS
  • NPI Number: 1578795332
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D0940290
LAB Type Hospital
Facility Name EMERALD COAST BEHAVIORAL HOSPITAL
Street 1940 HARRISON AVE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 763-0017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Hospital
Lab Director TIFFANI EVANS

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