10D1049351 CLIA NUMBER - PANAMA CITY PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D1049351
  • Facility Name: PANAMA CITY PEDIATRICS PA
  • Facility Address: 621 W BADLWIN RD STE A
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 747-3048
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EEHAB KENAWY MD
  • NPI Number: 1235150863
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1049351
LAB Type Physician Office
Facility Name PANAMA CITY PEDIATRICS PA
Street 621 W BADLWIN RD STE A
City PANAMA CITY
State FL
ZIP 32405
Phone 850 747-3048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director EEHAB KENAWY MD

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This page was last updated on: 3/20/2025