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EMERALD COAST WALK IN CLINIC LLC
NPI 1780478016
Clinic/Center in Lynn Haven, FL

Active since April 09, 2025CLIA 10D2277701 · Waiver
3890 JENKS AVE, LYNN HAVEN, FL 32444(850) 215-6400(850) 215-4440 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Walk In Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD COAST WALK IN CLINIC LLC (NPI 1780478016) is a healthcare organization registered as a clinic/center in Lynn Haven, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Waqas Faruqui, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1780478016
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEMERALD COAST WALK IN CLINIC LLC
Location Address3890 JENKS AVELynn Haven, FL 32444-4701
Mailing Address3890 Jenks AveLynn Haven, FL 32444-4701 · (850) 215-6400 · Fax (850) 215-4440
Phone(850) 215-6400
Fax(850) 215-4440
Organization SubpartNo
Authorized OfficialWaqas FaruquiPractice Administrator · (850) 215-6400
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1780478016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3890 JENKS AVE, Lynn Haven, FL 32444
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2277701

Emerald Coast Walk-In Clinic · Lynn Haven, FL
Active · expires Mar 2, 2027
CLIA Number10D2277701
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorAymen Kenawy
Laboratory Phone(850) 215-6400
Laboratory LocationEmerald Coast Walk-In Clinic3890 Jenks Ave, Lynn Haven, FL 32444
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA SIMMONS
Nurse Practitioner (Family)
3890 JENKS AVE
LYNN HAVEN, FL 32444
Bay County (850) 215-6400
BILAL ISLAM M.D.
Family Medicine (Sports Medicine)
3890 JENKS AVE
LYNN HAVEN, FL 32444
Bay County (850) 215-6400
MRS. ASHLEY ANN FERRELL MSN, APRN, FNP-C
Nurse Practitioner (Family)
3890 JENKS AVE
LYNN HAVEN, FL 32444
Bay County (850) 215-6400
EMERALD COAST RHEUMATOLOGY LLC
Internal Medicine (Rheumatology)
3890 JENKS AVE
LYNN HAVEN, FL 32444
Bay County (850) 215-6400
JENNIFER FOX NP
Nurse Practitioner
3890 JENKS AVE
LYNN HAVEN, FL 32444
Bay County (850) 571-5202
DR. AYMEN AHMED KENAWY M.D.
Internal Medicine (Rheumatology)
3890 JENKS AVE
LYNN HAVEN, FL 32444
Bay County (850) 215-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Coast Walk In Clinic LLC's NPI number?

The NPI number for Emerald Coast Walk In Clinic LLC is 1780478016. It was assigned to this organization in the NPPES registry on April 9, 2025.

Where is Emerald Coast Walk In Clinic LLC located?

Emerald Coast Walk In Clinic LLC is located at 3890 Jenks Ave, Lynn Haven, FL 32444. The listed phone number is (850) 215-6400.

What is Emerald Coast Walk In Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Emerald Coast Walk In Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2277701) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emerald Coast Walk In Clinic LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.