10D0715478 CLIA NUMBER - COASTAL CENTER OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 10D0715478
  • Facility Name: COASTAL CENTER OPERATIONS LLC
  • Facility Address: 820 N CLYDE MORRIS BLVD
    DAYTONA BEACH, FL
    ZIP 32117
  • Facility Phone: 386 274-4575
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA GARCIA
  • NPI Number: 1659607463
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0715478
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COASTAL CENTER OPERATIONS LLC
Street 820 N CLYDE MORRIS BLVD
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 274-4575
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 JOSHUA GARCIA

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