10D0958590 CLIA NUMBER - PREMIER MEDICAL CLINIC INC

Laboratory Demographics

  • CLIA Code: 10D0958590
  • Facility Name: PREMIER MEDICAL CLINIC INC
  • Facility Address: 315 EAST ASH STREET
    PERRY, FL
    ZIP 32347
  • Facility Phone: 850 584-3278
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ABDUL SOFI
  • NPI Number: 1831342880
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0958590
LAB Type Physician Office
Facility Name PREMIER MEDICAL CLINIC INC
Street 315 EAST ASH STREET
City PERRY
State FL
ZIP 32347
Phone 850 584-3278
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director ABDUL SOFI

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