10D2019631 CLIA NUMBER - BIO MEDICAL APPLICATIONS OF FL INC DBA FRESENIUS MEDICAL CARE PANAMA CITY

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Laboratory Demographics

CLIA Number: 10D2019631

Facility Name: BIO MEDICAL APPLICATIONS OF FL INC DBA FRESENIUS MEDICAL CARE PANAMA CITY

Facility Address:
2100 HARRISON AVE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 522-5407

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1588974935

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2019631
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO MEDICAL APPLICATIONS OF FL INC DBA FRESENIUS MEDICAL CARE PANAMA CITY
Street	2100 HARRISON AVE
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 522-5407
CertificateType	4
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024