10D2234192 CLIA NUMBER - EMERALD COAST DIRECT PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2234192
  • Facility Name: EMERALD COAST DIRECT PRIMARY CARE LLC
  • Facility Address: 8764 ORTEGA PARK DRIVE
    NAVARRE, FL
    ZIP 32566
  • Facility Phone: 850 860-6265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. BARDINELLI
  • NPI Number: 1154099943
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2234192
LAB Type Physician Office
Facility Name EMERALD COAST DIRECT PRIMARY CARE LLC
Street 8764 ORTEGA PARK DRIVE
City NAVARRE
State FL
ZIP 32566
Phone 850 860-6265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director JOSEPH A. BARDINELLI

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