10D1000070 CLIA NUMBER - SISTERS MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 10D1000070

Facility Name: SISTERS MEDICAL CLINIC

Facility Address:
215 W 6TH ST
PANAMA CITY, FL
ZIP 32401
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Facility Phone Number: 850 763-4669

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1225271042

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1000070
LAB Type	Practitioner Other
Facility Name	SISTERS MEDICAL CLINIC
Street	215 W 6TH ST
City	PANAMA CITY
State	FL
ZIP	32401
Phone	850 763-4669
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024