10D0686568 CLIA NUMBER - COQUINA CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0686568
  • Facility Name: COQUINA CENTER LLC
  • Facility Address: 170 NORTH CENTER STREET
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: (386) 672-7113
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRISHA A. KRUSE
  • NPI Number: 1760470785
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0686568
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COQUINA CENTER LLC
Street 170 NORTH CENTER STREET
City ORMOND BEACH
State FL
ZIP 32174
Phone 3866727113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRISHA A. KRUSE

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This page was last updated on: 5/18/2026