10D2177861 CLIA NUMBER - WOODLANDS MEDICAL SPECIALISTS, PA

Laboratory Demographics

CLIA Number: 10D2177861

Facility Name: WOODLANDS MEDICAL SPECIALISTS, PA

Facility Address:
2114 CREIGHTON RD STE A
PENSACOLA, FL
ZIP 32504
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Facility Phone Number: 850 696-4000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225274772

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2177861
LAB Type	Physician Office
Facility Name	WOODLANDS MEDICAL SPECIALISTS, PA
Street	2114 CREIGHTON RD STE A
City	PENSACOLA
State	FL
ZIP	32504
Phone	850 696-4000
CertificateType	4
CertificateEffectiveDate	1/21/2024
CertificateExpirationDate	1/20/2026
FacilityType	Waiver

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