10D2186617 CLIA NUMBER - MTU PROPERTIES LLC

Laboratory Demographics

  • CLIA Code: 10D2186617
  • Facility Name: MTU PROPERTIES LLC
  • Facility Address: 12111 PANAMA CITY BEACH PARKWAY
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Facility Phone: 850 588-1066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD H. MAUGHON
  • NPI Number: 1407406820
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2186617
LAB Type Physician Office
Facility Name MTU PROPERTIES LLC
Street 12111 PANAMA CITY BEACH PARKWAY
City PANAMA CITY BEACH
State FL
ZIP 32407
Phone 850 588-1066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director RICHARD H. MAUGHON

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