10D2182060 CLIA NUMBER - PANHANDLE VASCULAR SURGICAL SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D2182060
  • Facility Name: PANHANDLE VASCULAR SURGICAL SPECIALISTS
  • Facility Address: 1502 CREIGHTON RD
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 437-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINCOLN ROLAND
  • NPI Number: 1861929606
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2182060
LAB Type Physician Office
Facility Name PANHANDLE VASCULAR SURGICAL SPECIALISTS
Street 1502 CREIGHTON RD
City PENSACOLA
State FL
ZIP 32504
Phone 850 437-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director LINCOLN ROLAND

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