10D0979975 CLIA NUMBER - DOCTORS MEMORIAL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D0979975
  • Facility Name: DOCTORS MEMORIAL FAMILY PRACTICE
  • Facility Address: 555 N BYRON BUTLER PKWY
    PERRY, FL
    ZIP 32347
  • Facility Phone: 850 838-2141
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. TAE YU
  • NPI Number: 1649358821
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D0979975
LAB Type Rural Health Clinic
Facility Name DOCTORS MEMORIAL FAMILY PRACTICE
Street 555 N BYRON BUTLER PKWY
City PERRY
State FL
ZIP 32347
Phone 850 838-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Rural Health Clinic
Lab Director DR. TAE YU

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