10D2065205 CLIA NUMBER - HENGHOLD SURGERY CENTER

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Laboratory Demographics

CLIA Number: 10D2065205

Facility Name: HENGHOLD SURGERY CENTER

Facility Address:
530 FONTAINE ST
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: (850) 474-4775

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1760724314

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2065205
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	HENGHOLD SURGERY CENTER
Street	530 FONTAINE ST
City	PENSACOLA
State	FL
ZIP	32503
Phone	(850) 474-4775

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This page was last updated on: 5/11/2023