10D2076683 CLIA NUMBER - NITIN BAWA PROFESSIONAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2076683
  • Facility Name: NITIN BAWA PROFESSIONAL ASSOCIATES
  • Facility Address: 4476 LEGENDARY DRIVE #100
    DESTIN, FL
    ZIP 32541
  • Facility Phone: 850 424-7320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NITIN BAWA
  • NPI Number: 1972536266
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2076683
LAB Type Physician Office
Facility Name NITIN BAWA PROFESSIONAL ASSOCIATES
Street 4476 LEGENDARY DRIVE #100
City DESTIN
State FL
ZIP 32541
Phone 850 424-7320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director NITIN BAWA

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