10D1104363 CLIA NUMBER - ESCAMBIA COMMUNITY CLINICS INC DBA CHNWF

Laboratory Demographics

  • CLIA Code: 10D1104363
  • Facility Name: ESCAMBIA COMMUNITY CLINICS INC DBA CHNWF
  • Facility Address: 6671 CAROLINE ST
    MILTON, FL
    ZIP 32570
  • Facility Phone: 850 436-4630
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: GEORGE SMITH
  • NPI Number: 1689864035
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1104363
LAB Type Federally Qualified Health Center
Facility Name ESCAMBIA COMMUNITY CLINICS INC DBA CHNWF
Street 6671 CAROLINE ST
City MILTON
State FL
ZIP 32570
Phone 850 436-4630
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Federally Qualified Health Center
Lab Director GEORGE SMITH

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