10D1047124 CLIA NUMBER - CLEARWAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1047124
  • Facility Name: CLEARWAY SURGERY CENTER
  • Facility Address: 5102 N DAVIS HWY
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 549-4016
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KACEY A. MONTGOMERY
  • NPI Number: 1144291923
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1047124
LAB Type Ambulatory Surgery Center
Facility Name CLEARWAY SURGERY CENTER
Street 5102 N DAVIS HWY
City PENSACOLA
State FL
ZIP 32503
Phone 850 549-4016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Ambulatory Surgery Center
Lab Director KACEY A. MONTGOMERY

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