10D2108504 CLIA NUMBER - ESCAMBIA COMMUNITY CLINICS INC WOMENS HEALTH CENTER

Laboratory Demographics

CLIA Number: 10D2108504

Facility Name: ESCAMBIA COMMUNITY CLINICS INC WOMENS HEALTH CENTER

Facility Address:
2315 W JACKSON ST
PENSACOLA, FL
ZIP 32505
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Facility Phone Number: 850 436-4630

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1447615455

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2108504
LAB Type	Federally Qualified Health Center
Facility Name	ESCAMBIA COMMUNITY CLINICS INC WOMENS HEALTH CENTER
Street	2315 W JACKSON ST
City	PENSACOLA
State	FL
ZIP	32505
Phone	850 436-4630
CertificateType	3
CertificateEffectiveDate	2/5/2024
CertificateExpirationDate	2/4/2026
FacilityType	PPMP

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