10D0266919 CLIA NUMBER - AVIATA AT GREEN COVE SPRINGS

Laboratory Demographics

  • CLIA Code: 10D0266919
  • Facility Name: AVIATA AT GREEN COVE SPRINGS
  • Facility Address: 803 OAK ST
    GREEN COVE SPRINGS, FL
    ZIP 32043
  • Facility Phone: 904 284-5606
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL A. CRUMB
  • NPI Number: 1073285060
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0266919
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT GREEN COVE SPRINGS
Street 803 OAK ST
City GREEN COVE SPRINGS
State FL
ZIP 32043
Phone 904 284-5606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DANIEL A. CRUMB

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