10D1085506 CLIA NUMBER - MARIANNA CBOC

Laboratory Demographics

  • CLIA Code: 10D1085506
  • Facility Name: MARIANNA CBOC
  • Facility Address: 4970 HWY 90
    MARIANNA, FL
    ZIP 32446
  • Facility Phone: 850 718-5620
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: ROBERT W. ALLAN
  • NPI Number: 1790146140
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1085506
LAB Type Ambulatory Surgery Center
Facility Name MARIANNA CBOC
Street 4970 HWY 90
City MARIANNA
State FL
ZIP 32446
Phone 850 718-5620
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/19/2008
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT W. ALLAN

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