10D2061645 CLIA NUMBER - REGENCY HOSPICE OF NORTHWEST FLORIDA INC DBA GENTIVA I

Laboratory Demographics

  • CLIA Code: 10D2061645
  • Facility Name: REGENCY HOSPICE OF NORTHWEST FLORIDA INC DBA GENTIVA I
  • Facility Address: 7282 PLANTATION ROAD, SUITE 302
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1730326828
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 10D2061645
LAB Type Hospice
Facility Name REGENCY HOSPICE OF NORTHWEST FLORIDA INC DBA GENTIVA I
Street 7282 PLANTATION ROAD, SUITE 302
City PENSACOLA
State FL
ZIP 32504
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2023
Certificate Expiration Date 7/1/2025
Facility Type Hospice
Lab Director SELECE BEASLEY

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This page was last updated on: 3/20/2025