10D1067296 CLIA NUMBER - WEST PENSACOLA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 10D1067296
  • Facility Name: WEST PENSACOLA DIALYSIS CENTER
  • Facility Address: 598 N FAIRFIELD DR STE 100
    PENSACOLA, FL
    ZIP 32506
  • Facility Phone: 850 453-6066
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GEORGE B. ANTONIOUS
  • NPI Number: 1326366329
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1067296
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST PENSACOLA DIALYSIS CENTER
Street 598 N FAIRFIELD DR STE 100
City PENSACOLA
State FL
ZIP 32506
Phone 850 453-6066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GEORGE B. ANTONIOUS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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