10D1048466 CLIA NUMBER - LUIS A GHIGLINO MD PA

Laboratory Demographics

  • CLIA Code: 10D1048466
  • Facility Name: LUIS A GHIGLINO MD PA
  • Facility Address: 5962 BERRYHILL ROAD
    MILTON, FL
    ZIP 32570
  • Facility Phone: 850 983-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS A. GHIGLINO
  • NPI Number: 1538166392
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1048466
LAB Type Physician Office
Facility Name LUIS A GHIGLINO MD PA
Street 5962 BERRYHILL ROAD
City MILTON
State FL
ZIP 32570
Phone 850 983-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director LUIS A. GHIGLINO

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