10D1105394 CLIA NUMBER - CALLAWAY CLINIC

Laboratory Demographics

  • CLIA Code: 10D1105394
  • Facility Name: CALLAWAY CLINIC
  • Facility Address: 489 N TYNDALL PKWY
    PANAMA CITY, FL
    ZIP 32404
  • Facility Phone: 850 769-2803
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT MAPP JR
  • NPI Number: 1659577690
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1105394
LAB Type Physician Office
Facility Name CALLAWAY CLINIC
Street 489 N TYNDALL PKWY
City PANAMA CITY
State FL
ZIP 32404
Phone 850 769-2803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director ALBERT MAPP JR

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