10D0972126 CLIA NUMBER - FRESENIUS MEDICAL CARE NORTH PENSACOLA

Laboratory Demographics

  • CLIA Code: 10D0972126
  • Facility Name: FRESENIUS MEDICAL CARE NORTH PENSACOLA
  • Facility Address: 1040 E NINE MILE RD
    PENSACOLA, FL
    ZIP 32514
  • Facility Phone: 850 444-9202
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA L. BURR
  • NPI Number: 1619089455
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0972126
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE NORTH PENSACOLA
Street 1040 E NINE MILE RD
City PENSACOLA
State FL
ZIP 32514
Phone 850 444-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DEBRA L. BURR

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This page was last updated on: 6/4/2025