10D2075183 CLIA NUMBER - PENSACOLA MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 10D2075183
  • Facility Name: PENSACOLA MEDICAL CLINIC LLC
  • Facility Address: 2407 W CERVANTES ST
    PENSACOLA, FL
    ZIP 32505
  • Facility Phone: 850 791-6220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLAN HO
  • NPI Number: 1922750405
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2075183
LAB Type Physician Office
Facility Name PENSACOLA MEDICAL CLINIC LLC
Street 2407 W CERVANTES ST
City PENSACOLA
State FL
ZIP 32505
Phone 850 791-6220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director ALLAN HO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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