10D1102027 CLIA NUMBER - SOUTH WALTON MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D1102027
  • Facility Name: SOUTH WALTON MEDICAL GROUP
  • Facility Address: 7552 NAVARRE PARKWAY UNIT #21
    NAVARRE, FL
    ZIP 32566
  • Facility Phone: 850 837-8005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRANCE R. REEVES
  • NPI Number: 1871734541
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1102027
LAB Type Physician Office
Facility Name SOUTH WALTON MEDICAL GROUP
Street 7552 NAVARRE PARKWAY UNIT #21
City NAVARRE
State FL
ZIP 32566
Phone 850 837-8005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director TERRANCE R. REEVES

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