10D1051986 CLIA NUMBER - BAY NEUROLOGICAL INSTITUTE

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Laboratory Demographics

CLIA Number: 10D1051986

Facility Name: BAY NEUROLOGICAL INSTITUTE

Facility Address:
2559 HUNTCLIFF LANE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 763-0333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205844396

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	4
CertificateEffectiveDate	3/15/2024
CertificateExpirationDate	3/14/2026
FacilityType	Waiver

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