10D2300647 CLIA NUMBER - DOCTORS' MEMORIAL HOSPITAL, INC

Laboratory Demographics

  • CLIA Code: 10D2300647
  • Facility Name: DOCTORS' MEMORIAL HOSPITAL, INC
  • Facility Address: 333 N BYRON BUTLER PKWY
    PERRY, FL
    ZIP 32347
  • Facility Phone: 850 584-0649
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TAE YU
  • NPI Number: 1639117237
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2300647
LAB Type Other - URGENT CARE
Facility Name DOCTORS' MEMORIAL HOSPITAL, INC
Street 333 N BYRON BUTLER PKWY
City PERRY
State FL
ZIP 32347
Phone 850 584-0649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Other - URGENT CARE
Lab Director TAE YU

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