10D1094813 CLIA NUMBER - KAPIL PURI MD PA

Laboratory Demographics

  • CLIA Code: 10D1094813
  • Facility Name: KAPIL PURI MD PA
  • Facility Address: 1110 JUNIPER AVE
    NICEVILLE, FL
    ZIP 32578
  • Facility Phone: 850 279-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAPIL PURI
  • NPI Number: 1962494211
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D1094813
LAB Type Physician Office
Facility Name KAPIL PURI MD PA
Street 1110 JUNIPER AVE
City NICEVILLE
State FL
ZIP 32578
Phone 850 279-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director KAPIL PURI

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