10D2280567 CLIA NUMBER - GENERATIONS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2280567
  • Facility Name: GENERATIONS PRIMARY CARE
  • Facility Address: 4566 E HWY 20 STE 105
    NICEVILLE, FL
    ZIP 32578
  • Facility Phone: 850 483-3313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANN K. GWINNUP
  • NPI Number: 1457065203
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2280567
LAB Type Physician Office
Facility Name GENERATIONS PRIMARY CARE
Street 4566 E HWY 20 STE 105
City NICEVILLE
State FL
ZIP 32578
Phone 850 483-3313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director ANN K. GWINNUP

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