10D2027002 CLIA NUMBER - CRESTVIEW URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D2027002
  • Facility Name: CRESTVIEW URGENT CARE
  • Facility Address: 2400 FERDON BLVD STE A
    CRESTVIEW, FL
    ZIP 32536
  • Facility Phone: 850 398-8668
  • Facility Type: Other - URGENT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: STEPHEN T. NOGGLE
  • NPI Number: 1144458647
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2027002
LAB Type Other - URGENT CARE FACILITY
Facility Name CRESTVIEW URGENT CARE
Street 2400 FERDON BLVD STE A
City CRESTVIEW
State FL
ZIP 32536
Phone 850 398-8668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Other - URGENT CARE FACILITY
Lab Director STEPHEN T. NOGGLE

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