10D2135688 CLIA NUMBER - OLIVE BRANCH HEALTH AND REHABILITATION CTR

Laboratory Demographics

  • CLIA Code: 10D2135688
  • Facility Name: OLIVE BRANCH HEALTH AND REHABILITATION CTR
  • Facility Address: 8325 UNIVERSITY PARKWAY
    PENSACOLA, FL
    ZIP 32514
  • Facility Phone: 850 898-8000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOIS G. PETTY
  • NPI Number: 1144752148
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2135688
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OLIVE BRANCH HEALTH AND REHABILITATION CTR
Street 8325 UNIVERSITY PARKWAY
City PENSACOLA
State FL
ZIP 32514
Phone 850 898-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LOIS G. PETTY

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