10D2179506 CLIA NUMBER - RECOVERY BAY, LLC

Laboratory Demographics

  • CLIA Code: 10D2179506
  • Facility Name: RECOVERY BAY, LLC
  • Facility Address: 9721 THOMAS DRIVE
    PANAMA CITY, FL
    ZIP 32408
  • Facility Phone: 772 359-4804
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: KRISTA JOHNSON
  • NPI Number: 1902445687
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2179506
LAB Type Other - SUBSTANCE ABUSE
Facility Name RECOVERY BAY, LLC
Street 9721 THOMAS DRIVE
City PANAMA CITY
State FL
ZIP 32408
Phone 772 359-4804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Other - SUBSTANCE ABUSE
Lab Director KRISTA JOHNSON

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