10D1015760 CLIA NUMBER - PANAMA CITY SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D1015760

Facility Name: PANAMA CITY SURGERY CENTER

Facility Address:
1800 JENKS AVE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: (850) 769-3191

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1023088473

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1015760
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	PANAMA CITY SURGERY CENTER
Street	1800 JENKS AVE
City	PANAMA CITY
State	FL
ZIP	32405
Phone	(850) 769-3191

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This page was last updated on: 5/11/2023