10D1011711 CLIA NUMBER - CORAL BAY AT PENSACOLA, LLC

Laboratory Demographics

  • CLIA Code: 10D1011711
  • Facility Name: CORAL BAY AT PENSACOLA, LLC
  • Facility Address: 600 WEST GREGORY ST
    PENSACOLA, FL
    ZIP 32502
  • Facility Phone: (850) 434-8071
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMILYN N. VINSON
  • NPI Number: 1528792074
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1011711
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CORAL BAY AT PENSACOLA, LLC
Street 600 WEST GREGORY ST
City PENSACOLA
State FL
ZIP 32502
Phone 8504348071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TAMMILYN N. VINSON

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This page was last updated on: 5/18/2026