10D0999427 CLIA NUMBER - DONALD W WHITAKER MD PA

Laboratory Demographics

  • CLIA Code: 10D0999427
  • Facility Name: DONALD W WHITAKER MD PA
  • Facility Address: 924 MAR WALT DR
    FORT WALTON BEACH, FL
    ZIP 32547
  • Facility Phone: 850 863-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD WHITAKER
  • NPI Number: 1518901479
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0999427
LAB Type Physician Office
Facility Name DONALD W WHITAKER MD PA
Street 924 MAR WALT DR
City FORT WALTON BEACH
State FL
ZIP 32547
Phone 850 863-1000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director DONALD WHITAKER

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