10D2019839 CLIA NUMBER - ANESTHESIA INC

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Laboratory Demographics

CLIA Number: 10D2019839

Facility Name: ANESTHESIA INC

Facility Address:
3997 W COMMONS DR STE M
DESTIN, FL
ZIP 32541
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Facility Phone Number: 850 424-3769

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619269180

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2019839
LAB Type	Physician Office
Facility Name	ANESTHESIA INC
Street	3997 W COMMONS DR STE M
City	DESTIN
State	FL
ZIP	32541
Phone	850 424-3769
CertificateType	4
CertificateEffectiveDate	10/29/2023
CertificateExpirationDate	10/28/2025
FacilityType	Waiver

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