10D1046177 CLIA NUMBER - PENSACOLA PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D1046177
  • Facility Name: PENSACOLA PRIMARY CARE INC
  • Facility Address: 6431 NORTH W ST
    PENSACOLA, FL
    ZIP 32505
  • Facility Phone: 850 474-3660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL KASABIAN
  • NPI Number: 1467434860
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1046177
LAB Type Physician Office
Facility Name PENSACOLA PRIMARY CARE INC
Street 6431 NORTH W ST
City PENSACOLA
State FL
ZIP 32505
Phone 850 474-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director MICHAEL KASABIAN

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