10D1051986 CLIA NUMBER - BAY NEUROLOGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D1051986
  • Facility Name: BAY NEUROLOGICAL INSTITUTE
  • Facility Address: 2559 HUNTCLIFF LANE
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 763-0333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUTAZ A. TABBAA
  • NPI Number: 1205844396
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1051986
LAB Type Physician Office
Facility Name BAY NEUROLOGICAL INSTITUTE
Street 2559 HUNTCLIFF LANE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 763-0333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director MUTAZ A. TABBAA

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