10D2317665 CLIA NUMBER - PANHANDLE PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D2317665
  • Facility Name: PANHANDLE PRIMARY CARE INC
  • Facility Address: 36 OCHLOCKNEE STREET
    CRAWFORDVILLE, FL
    ZIP 32327
  • Facility Phone: 850 879-0759
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALERIE M. RUSSELL
  • NPI Number: 1558186437
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2317665
LAB Type Physician Office
Facility Name PANHANDLE PRIMARY CARE INC
Street 36 OCHLOCKNEE STREET
City CRAWFORDVILLE
State FL
ZIP 32327
Phone 850 879-0759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director VALERIE M. RUSSELL

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