10D2272744 CLIA NUMBER - A TRUSTED NURSE PRACTIONER, LLC

Laboratory Demographics

  • CLIA Code: 10D2272744
  • Facility Name: A TRUSTED NURSE PRACTIONER, LLC
  • Facility Address: 1101 GULF BREEZE PKWY, BLDG 5, SUITE 14
    GULF BREEZE, FL
    ZIP 32561
  • Facility Phone: 850 990-9100
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RENECEA CLOWDSLEY
  • NPI Number: 1295368645
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2272744
LAB Type Practitioner Other
Facility Name A TRUSTED NURSE PRACTIONER, LLC
Street 1101 GULF BREEZE PKWY, BLDG 5, SUITE 14
City GULF BREEZE
State FL
ZIP 32561
Phone 850 990-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Practitioner Other
Lab Director RENECEA CLOWDSLEY

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