10D2102846 CLIA NUMBER - QUALITY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2102846
  • Facility Name: QUALITY PRIMARY CARE
  • Facility Address: 514 MARY ESTHER CUTOFF NW
    FORT WALTON BEACH, FL
    ZIP 32548
  • Facility Phone: 850 226-8550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NARENDRA K. GOWDA
  • NPI Number: 1386042703
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2102846
LAB Type Physician Office
Facility Name QUALITY PRIMARY CARE
Street 514 MARY ESTHER CUTOFF NW
City FORT WALTON BEACH
State FL
ZIP 32548
Phone 850 226-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director NARENDRA K. GOWDA

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