10D1091539 CLIA NUMBER - EMERALD COAST URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 10D1091539
  • Facility Name: EMERALD COAST URGENT CARE LLC
  • Facility Address: 2704 THOMAS DRIVE
    PANAMA CITY BEACH, FL
    ZIP 32408
  • Facility Phone: 850 236-8655
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY P. NICHOLS MD
  • NPI Number: 1396865556
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1091539
LAB Type Other - URGENT CARE
Facility Name EMERALD COAST URGENT CARE LLC
Street 2704 THOMAS DRIVE
City PANAMA CITY BEACH
State FL
ZIP 32408
Phone 850 236-8655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other - URGENT CARE
Lab Director TIMOTHY P. NICHOLS MD

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