10D0962382 CLIA NUMBER - LOUIS B FOWLER JR MD

Laboratory Demographics

CLIA Number: 10D0962382

Facility Name: LOUIS B FOWLER JR MD

Facility Address:
431 EAST GOVERNMENT STREET
PENSACOLA, FL
ZIP 32501
Get Directions

Facility Phone Number: 850 433-9391

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366515827

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0962382
LAB Type	Physician Office
Facility Name	LOUIS B FOWLER JR MD
Street	431 EAST GOVERNMENT STREET
City	PENSACOLA
State	FL
ZIP	32501
Phone	850 433-9391
CertificateType	4
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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