10D2227014 CLIA NUMBER - PANHANDLE OUTPATIENT SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2227014
  • Facility Name: PANHANDLE OUTPATIENT SURGERY CENTER LLC
  • Facility Address: 1502 CREIGHTON ROAD SUITE C
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 876-8200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIK NILSSEN
  • NPI Number: 1346865078
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2227014
LAB Type Ambulatory Surgery Center
Facility Name PANHANDLE OUTPATIENT SURGERY CENTER LLC
Street 1502 CREIGHTON ROAD SUITE C
City PENSACOLA
State FL
ZIP 32504
Phone 850 876-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Ambulatory Surgery Center
Lab Director ERIK NILSSEN

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