10D0997031 CLIA NUMBER - SACRED HEART HEALTH SYSTEM INC

Laboratory Demographics

  • CLIA Code: 10D0997031
  • Facility Name: SACRED HEART HEALTH SYSTEM INC
  • Facility Address: 12385 SORRENTO RD STE C4
    PENSACOLA, FL
    ZIP 32507
  • Facility Phone: 850 746-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENEILLE R. CORDELL
  • NPI Number: 1326380213
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 10D0997031
LAB Type Physician Office
Facility Name SACRED HEART HEALTH SYSTEM INC
Street 12385 SORRENTO RD STE C4
City PENSACOLA
State FL
ZIP 32507
Phone 850 746-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JENEILLE R. CORDELL

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