10D1017165 CLIA NUMBER - KEITH BANTON MD PA

Laboratory Demographics

  • CLIA Code: 10D1017165
  • Facility Name: KEITH BANTON MD PA
  • Facility Address: 1937 HARRISON AVE
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 763-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH B. BANTON MD
  • NPI Number: 1205896636
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1017165
LAB Type Physician Office
Facility Name KEITH BANTON MD PA
Street 1937 HARRISON AVE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 763-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director KEITH B. BANTON MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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