10D2027114 CLIA NUMBER - BAPTIST MEDICAL GROUP AT FLORIDA BLUE

Laboratory Demographics

  • CLIA Code: 10D2027114
  • Facility Name: BAPTIST MEDICAL GROUP AT FLORIDA BLUE
  • Facility Address: 1678 AIRPORT BLVD
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 479-3790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL L. SONTHEIMER
  • NPI Number: 1629749692
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2027114
LAB Type Physician Office
Facility Name BAPTIST MEDICAL GROUP AT FLORIDA BLUE
Street 1678 AIRPORT BLVD
City PENSACOLA
State FL
ZIP 32504
Phone 850 479-3790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director DANIEL L. SONTHEIMER

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