10D2083380 CLIA NUMBER - MIDWAY MEDICAL CLINIC II

Home > CLIA Lookup > 10D2083380

Laboratory Demographics

CLIA Number: 10D2083380

Facility Name: MIDWAY MEDICAL CLINIC II

Facility Address:
201 FOREST PARK CIR
PANAMA CITY, FL
ZIP 32405
Get Directions

Facility Phone Number: 724 971-7051

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285038117

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2083380
LAB Type	Physician Office
Facility Name	MIDWAY MEDICAL CLINIC II
Street	201 FOREST PARK CIR
City	PANAMA CITY
State	FL
ZIP	32405
Phone	724 971-7051
CertificateType	4
CertificateEffectiveDate	9/4/2022
CertificateExpirationDate	9/3/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024