10D2287738 CLIA NUMBER - NAVARRE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2287738
  • Facility Name: NAVARRE PRIMARY CARE
  • Facility Address: 1772 SEA LARK LN
    NAVARRE, FL
    ZIP 32566
  • Facility Phone: 850 939-9721
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHERRIE M. KOENIGSEDER
  • NPI Number: 1457043051
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2287738
LAB Type Practitioner Other
Facility Name NAVARRE PRIMARY CARE
Street 1772 SEA LARK LN
City NAVARRE
State FL
ZIP 32566
Phone 850 939-9721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Practitioner Other
Lab Director SHERRIE M. KOENIGSEDER

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