10D2142992 CLIA NUMBER - SACRED HEART MEDICAL GROUP PEDIATRICS NINTH AVE

Laboratory Demographics

CLIA Number: 10D2142992

Facility Name: SACRED HEART MEDICAL GROUP PEDIATRICS NINTH AVE

Facility Address:
5153 N 9TH AVE
PENSACOLA, FL
ZIP 32504
Get Directions

Facility Phone Number: 850 416-1575

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528539061

Taxonomy: 207XP3100X - Orthopaedic Surgery
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

CLIA Record

Field Name	Field Value
CLIA Number	10D2142992
LAB Type	Physician Office
Facility Name	SACRED HEART MEDICAL GROUP PEDIATRICS NINTH AVE
Street	5153 N 9TH AVE
City	PENSACOLA
State	FL
ZIP	32504
Phone	850 416-1575
CertificateType	4
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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