10D1045119 CLIA NUMBER - COVENANT HOSPICE PALLIATIVE CARE UNIT AT WEST FLORIDA HOSPITAL

Laboratory Demographics

CLIA Number: 10D1045119

Facility Name: COVENANT HOSPICE PALLIATIVE CARE UNIT AT WEST FLORIDA HOSPITAL

Facility Address:
8383 NORTH DAVIS HWY 3RD FL W
PENSACOLA, FL
ZIP 32514
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Facility Phone Number: 850 433-2155

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1194880690

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	10D1045119
LAB Type	Hospice
Facility Name	COVENANT HOSPICE PALLIATIVE CARE UNIT AT WEST FLORIDA HOSPITAL
Street	8383 NORTH DAVIS HWY 3RD FL W
City	PENSACOLA
State	FL
ZIP	32514
Phone	850 433-2155
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024