10D1022763 CLIA NUMBER - VERNON FAMILY HEALTH CENTER OF CHIPLEY

Laboratory Demographics

  • CLIA Code: 10D1022763
  • Facility Name: VERNON FAMILY HEALTH CENTER OF CHIPLEY
  • Facility Address: 719 7TH STREET, SUITE 2
    CHIPLEY, FL
    ZIP 32428
  • Facility Phone: 850 535-0703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAWN R. FROST
  • NPI Number: 1851545115
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D1022763
LAB Type Physician Office
Facility Name VERNON FAMILY HEALTH CENTER OF CHIPLEY
Street 719 7TH STREET, SUITE 2
City CHIPLEY
State FL
ZIP 32428
Phone 850 535-0703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director DAWN R. FROST

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