10D2170386 CLIA NUMBER - WEST FLORIDA INTERNAL MEDICINE LLC DBA WEST FLORIDA OBGYN

Laboratory Demographics

  • CLIA Code: 10D2170386
  • Facility Name: WEST FLORIDA INTERNAL MEDICINE LLC DBA WEST FLORIDA OBGYN
  • Facility Address: 4910 N 12TH AVE
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 494-4600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JULIE ANN ZEMAITIS DECESARE
  • NPI Number: 1801170626
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D2170386
LAB Type Physician Office
Facility Name WEST FLORIDA INTERNAL MEDICINE LLC DBA WEST FLORIDA OBGYN
Street 4910 N 12TH AVE
City PENSACOLA
State FL
ZIP 32504
Phone 850 494-4600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director JULIE ANN ZEMAITIS DECESARE

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