10D1074377 CLIA NUMBER - RETINA SPECIALTY INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D1074377
  • Facility Name: RETINA SPECIALTY INSTITUTE
  • Facility Address: 5150 N DAVIS HWY
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 476-6759
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNIL GUPTA MD
  • NPI Number: 1588610075
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D1074377
LAB Type Physician Office
Facility Name RETINA SPECIALTY INSTITUTE
Street 5150 N DAVIS HWY
City PENSACOLA
State FL
ZIP 32503
Phone 850 476-6759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director SUNIL GUPTA MD

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