10D2063340 CLIA NUMBER - GULF COAST PAIN CONSULTANTS PLLC

Laboratory Demographics

  • CLIA Code: 10D2063340
  • Facility Name: GULF COAST PAIN CONSULTANTS PLLC
  • Facility Address: 4901 MARKETPLACE RD
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 480-7540
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROCHELLE N. NAGAMOS
  • NPI Number: 1720464118
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2063340
LAB Type Physician Office
Facility Name GULF COAST PAIN CONSULTANTS PLLC
Street 4901 MARKETPLACE RD
City PENSACOLA
State FL
ZIP 32504
Phone 850 480-7540
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director ROCHELLE N. NAGAMOS

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