10D2075852 CLIA NUMBER - PENSACOLA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2075852
  • Facility Name: PENSACOLA PEDIATRICS
  • Facility Address: 5755 QUINTETTE ROAD
    PACE, FL
    ZIP 32571
  • Facility Phone: 850 995-8087
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. HENSLEY
  • NPI Number: 1225701550
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2075852
LAB Type Physician Office
Facility Name PENSACOLA PEDIATRICS
Street 5755 QUINTETTE ROAD
City PACE
State FL
ZIP 32571
Phone 850 995-8087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director DAVID A. HENSLEY

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