10D2081063 CLIA NUMBER - ADVANCED GERIATRICS AND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2081063
  • Facility Name: ADVANCED GERIATRICS AND PRIMARY CARE
  • Facility Address: 9013 UNIVERSITY PKWY STE G
    PENSACOLA, FL
    ZIP 32514
  • Facility Phone: 850 912-8020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEGUMI MAGUCHI
  • NPI Number: 1083027528
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2081063
LAB Type Physician Office
Facility Name ADVANCED GERIATRICS AND PRIMARY CARE
Street 9013 UNIVERSITY PKWY STE G
City PENSACOLA
State FL
ZIP 32514
Phone 850 912-8020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director MEGUMI MAGUCHI

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