10D0950695 CLIA NUMBER - VICKIE N HARRELL MD

Laboratory Demographics

  • CLIA Code: 10D0950695
  • Facility Name: VICKIE N HARRELL MD
  • Facility Address: 292 FOREST PARK CIRCLE
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 913-0018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICKIE N. HARRELL MD
  • NPI Number: 1730155060
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0950695
LAB Type Physician Office
Facility Name VICKIE N HARRELL MD
Street 292 FOREST PARK CIRCLE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 913-0018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director VICKIE N. HARRELL MD

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