10D2177583 CLIA NUMBER - REGENT MEDICAL AND AESTHETICS CLINIC

Laboratory Demographics

CLIA Number: 10D2177583

Facility Name: REGENT MEDICAL AND AESTHETICS CLINIC

Facility Address:
1209 N CENTER ST
PERRY, FL
ZIP 32347
Get Directions

Facility Phone Number: (850) 371-5243

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1477021053

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2177583
LAB Type	OTHER PRACTITIONER
Facility Name	REGENT MEDICAL AND AESTHETICS CLINIC
Street	1209 N CENTER ST
City	PERRY
State	FL
ZIP	32347
Phone	(850) 371-5243

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: 5/11/2023