10D1052524 CLIA NUMBER - PENSACOLA OPEN MRI

Laboratory Demographics

  • CLIA Code: 10D1052524
  • Facility Name: PENSACOLA OPEN MRI
  • Facility Address: 4511 N DAVIS HWY STE 1B
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 484-8454
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GORDON HIXSON
  • NPI Number: 1235197930
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1052524
LAB Type Other
Facility Name PENSACOLA OPEN MRI
Street 4511 N DAVIS HWY STE 1B
City PENSACOLA
State FL
ZIP 32503
Phone 850 484-8454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Other
Lab Director GORDON HIXSON

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