10D2143746 CLIA NUMBER - BEACH MIDWAY MED EXPRESS

Laboratory Demographics

  • CLIA Code: 10D2143746
  • Facility Name: BEACH MIDWAY MED EXPRESS
  • Facility Address: 11038 HUTCHISON BLVD
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Facility Phone: 850 588-5778
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ATA ULHAQ
  • NPI Number: 1235637497
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2143746
LAB Type Physician Office
Facility Name BEACH MIDWAY MED EXPRESS
Street 11038 HUTCHISON BLVD
City PANAMA CITY BEACH
State FL
ZIP 32407
Phone 850 588-5778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director ATA ULHAQ

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