10D2295998 CLIA NUMBER - GRANTED ANGELS INC

Laboratory Demographics

  • CLIA Code: 10D2295998
  • Facility Name: GRANTED ANGELS INC
  • Facility Address: 2860 HWY 71N STE B
    MARIANNA, FL
    ZIP 32446
  • Facility Phone: 850 372-4782
  • Facility Type: Other - DIAGNOSTIC
  • Facility Type: Waiver
  • Lab Director: BRANDY GRANT
  • NPI Number: 1922501394
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 10D2295998
LAB Type Other - DIAGNOSTIC
Facility Name GRANTED ANGELS INC
Street 2860 HWY 71N STE B
City MARIANNA
State FL
ZIP 32446
Phone 850 372-4782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Other - DIAGNOSTIC
Lab Director BRANDY GRANT

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