10D2142940 CLIA NUMBER - PENSACOLA PEDIATRICS, PA

Laboratory Demographics

CLIA Number: 10D2142940

Facility Name: PENSACOLA PEDIATRICS, PA

Facility Address:
965 EAST NINE MILE ROAD
PENSACOLA, FL
ZIP 32514
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Facility Phone Number: 850 494-3965

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982643169

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2142940
LAB Type	Physician Office
Facility Name	PENSACOLA PEDIATRICS, PA
Street	965 EAST NINE MILE ROAD
City	PENSACOLA
State	FL
ZIP	32514
Phone	850 494-3965
CertificateType	4
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	Waiver

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