10D2049348 CLIA NUMBER - HOME OPTIONS OF PENSACOLA

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Laboratory Demographics

CLIA Number: 10D2049348

Facility Name: HOME OPTIONS OF PENSACOLA

Facility Address:
700 E CERVANTES ST SUITE B
PENSACOLA, FL
ZIP 32501
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Facility Phone Number: 850 969-9082

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1215287115

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2049348
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HOME OPTIONS OF PENSACOLA
Street	700 E CERVANTES ST SUITE B
City	PENSACOLA
State	FL
ZIP	32501
Phone	850 969-9082
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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