10D2101317 CLIA NUMBER - BARBARA A LUBIN MD LLC

Laboratory Demographics

CLIA Number: 10D2101317

Facility Name: BARBARA A LUBIN MD LLC

Facility Address:
1124 JENKS AVE
PANAMA CITY, FL
ZIP 32401
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Facility Phone Number: 850 814-0785

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235508292

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	10D2101317
LAB Type	Physician Office
Facility Name	BARBARA A LUBIN MD LLC
Street	1124 JENKS AVE
City	PANAMA CITY
State	FL
ZIP	32401
Phone	850 814-0785
CertificateType	4
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Waiver

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