10D1046177 CLIA NUMBER - PENSACOLA PRIMARY CARE INC

Laboratory Demographics

CLIA Number: 10D1046177

Facility Name: PENSACOLA PRIMARY CARE INC

Facility Address:
6431 NORTH W ST
PENSACOLA, FL
ZIP 32505
Get Directions

Facility Phone Number: 850 474-3660

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467434860

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	2/13/2023
CertificateExpirationDate	2/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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