10D2079541 CLIA NUMBER - JULIE STAATS DO

Laboratory Demographics

  • CLIA Code: 10D2079541
  • Facility Name: JULIE STAATS DO
  • Facility Address: 2600 NORTH PARTIN DR STE 120
    NICEVILLE, FL
    ZIP 32578
  • Facility Phone: 850 279-3040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE STAATS
  • NPI Number: 1023092525
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2079541
LAB Type Physician Office
Facility Name JULIE STAATS DO
Street 2600 NORTH PARTIN DR STE 120
City NICEVILLE
State FL
ZIP 32578
Phone 850 279-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director JULIE STAATS

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