10D2277246 CLIA NUMBER - HCH PHYSICIAN SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2277246
  • Facility Name: HCH PHYSICIAN SERVICES LLC
  • Facility Address: 809 E JEFFERSON ST
    QUINCY, FL
    ZIP 32351
  • Facility Phone: 850 662-4070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANTZ C. HERCULE
  • NPI Number: 1932504834
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2277246
LAB Type Physician Office
Facility Name HCH PHYSICIAN SERVICES LLC
Street 809 E JEFFERSON ST
City QUINCY
State FL
ZIP 32351
Phone 850 662-4070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director HANTZ C. HERCULE

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