10D2099235 CLIA NUMBER - PERRY VA CBOC

Laboratory Demographics

  • CLIA Code: 10D2099235
  • Facility Name: PERRY VA CBOC
  • Facility Address: 1224 NORTH PEACOCK AVENUE
    PERRY, FL
    ZIP 32347
  • Facility Phone: 857 203-5113
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ROBERT W. ALLAN
  • NPI Number: 1376910968
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2099235
LAB Type Community Clinic
Facility Name PERRY VA CBOC
Street 1224 NORTH PEACOCK AVENUE
City PERRY
State FL
ZIP 32347
Phone 857 203-5113
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/22/2015
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ROBERT W. ALLAN

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