10D2042162 CLIA NUMBER - WELLNESS PENSACOLA PLLC

Laboratory Demographics

  • CLIA Code: 10D2042162
  • Facility Name: WELLNESS PENSACOLA PLLC
  • Facility Address: 4400 BAYOU BLVD SUITE 49A
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 741-4723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALICIA CHEN
  • NPI Number: 1174880660
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2042162
LAB Type Physician Office
Facility Name WELLNESS PENSACOLA PLLC
Street 4400 BAYOU BLVD SUITE 49A
City PENSACOLA
State FL
ZIP 32503
Phone 850 741-4723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director ALICIA CHEN

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