10D2133219 CLIA NUMBER - EMERALD COAST PEDIATRICS & ADOLESCENTS

Laboratory Demographics

  • CLIA Code: 10D2133219
  • Facility Name: EMERALD COAST PEDIATRICS & ADOLESCENTS
  • Facility Address: 12907 PANAMA CITY BEACH PKWY STE 201
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Facility Phone: 850 238-8720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EEHAB A. KENAWY
  • NPI Number: 1457657561
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2133219
LAB Type Physician Office
Facility Name EMERALD COAST PEDIATRICS & ADOLESCENTS
Street 12907 PANAMA CITY BEACH PKWY STE 201
City PANAMA CITY BEACH
State FL
ZIP 32407
Phone 850 238-8720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director EEHAB A. KENAWY

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