10D0693354 CLIA NUMBER - RADIANT NURSING & REHAB AT PALATKA

Laboratory Demographics

  • CLIA Code: 10D0693354
  • Facility Name: RADIANT NURSING & REHAB AT PALATKA
  • Facility Address: 501 S PALM AVE
    PALATKA, FL
    ZIP 32177
  • Facility Phone: 386 328-1472
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NATASHA JENKINS
  • NPI Number: 1295358653
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0693354
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RADIANT NURSING & REHAB AT PALATKA
Street 501 S PALM AVE
City PALATKA
State FL
ZIP 32177
Phone 386 328-1472
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 NATASHA JENKINS

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