10D2186706 CLIA NUMBER - PANHANDLE RURAL HEALTH AND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2186706
  • Facility Name: PANHANDLE RURAL HEALTH AND PRIMARY CARE
  • Facility Address: 20274 W CENTRAL AVE
    BLOUNTSTOWN, FL
    ZIP 32424
  • Facility Phone: 850 674-8890
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RONALD WATSON JR
  • NPI Number: 1316395890
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2186706
LAB Type Rural Health Clinic
Facility Name PANHANDLE RURAL HEALTH AND PRIMARY CARE
Street 20274 W CENTRAL AVE
City BLOUNTSTOWN
State FL
ZIP 32424
Phone 850 674-8890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Rural Health Clinic
Lab Director RONALD WATSON JR

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