10D2086419 CLIA NUMBER - AVANZA MEDICAL RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 10D2086419
  • Facility Name: AVANZA MEDICAL RESEARCH CENTER
  • Facility Address: 4700 BAYOU BLVD STE 4
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 477-7900
  • Facility Type: Other - RESEARCH CLINIC
  • Facility Type: Waiver
  • Lab Director: MICHAEL ELLIS
  • NPI Number: 1609146760
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2086419
LAB Type Other - RESEARCH CLINIC
Facility Name AVANZA MEDICAL RESEARCH CENTER
Street 4700 BAYOU BLVD STE 4
City PENSACOLA
State FL
ZIP 32503
Phone 850 477-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other - RESEARCH CLINIC
Lab Director MICHAEL ELLIS

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