10D0976518 CLIA NUMBER - OKALOOSA CARDIOLOGY

Laboratory Demographics

CLIA Code: 10D0976518
Facility Name: OKALOOSA CARDIOLOGY
Facility Address: 1032 MAR WALT DRIVE STE 110
FORT WALTON BEACH, FL
ZIP 32547
Facility Phone: 850 678-7522
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: MARK J. KATZENSTEIN MD
NPI Number: 1801091376
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

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CLIA Record

Field Name	Field Value
CLIA Number	10D0976518
LAB Type	Physician Office
Facility Name	OKALOOSA CARDIOLOGY
Street	1032 MAR WALT DRIVE STE 110
City	FORT WALTON BEACH
State	FL
ZIP	32547
Phone	850 678-7522
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/7/2024
Certificate Expiration Date	8/6/2026
Facility Type	Physician Office
Lab Director	MARK J. KATZENSTEIN MD

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