10D2203226 CLIA NUMBER - BONIFAY RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 10D2203226
  • Facility Name: BONIFAY RURAL HEALTH CLINIC
  • Facility Address: 2910 HOSPITAL DRIVE, SUITE A
    BONIFAY, FL
    ZIP 32425
  • Facility Phone: 850 547-8118
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: HUY NGUYEN
  • NPI Number: 1952917015
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2203226
LAB Type Rural Health Clinic
Facility Name BONIFAY RURAL HEALTH CLINIC
Street 2910 HOSPITAL DRIVE, SUITE A
City BONIFAY
State FL
ZIP 32425
Phone 850 547-8118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Rural Health Clinic
Lab Director HUY NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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