10D0992607 CLIA NUMBER - WAYNE P JUSTICE MD PA

Laboratory Demographics

  • CLIA Code: 10D0992607
  • Facility Name: WAYNE P JUSTICE MD PA
  • Facility Address: 1003 W COLLEGE BLVD STE 2
    NICEVILLE, FL
    ZIP 32578
  • Facility Phone: 850 678-0443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE P. JUSTICE
  • NPI Number: 1487624201
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0992607
LAB Type Physician Office
Facility Name WAYNE P JUSTICE MD PA
Street 1003 W COLLEGE BLVD STE 2
City NICEVILLE
State FL
ZIP 32578
Phone 850 678-0443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director WAYNE P. JUSTICE

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