10D1020837 CLIA NUMBER - GULFPORT FIRE DEPT

Laboratory Demographics

  • CLIA Code: 10D1020837
  • Facility Name: GULFPORT FIRE DEPT
  • Facility Address: 5314 23RD AVE S
    GULFPORT, FL
    ZIP 33707
  • Facility Phone: 727 893-1062
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. ANGUS JAMESON
  • NPI Number: 1730598293
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D1020837
LAB Type Other
Facility Name GULFPORT FIRE DEPT
Street 5314 23RD AVE S
City GULFPORT
State FL
ZIP 33707
Phone 727 893-1062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Other
Lab Director DR. ANGUS JAMESON

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