10D0722003 CLIA NUMBER - WEBSTER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 10D0722003
  • Facility Name: WEBSTER MEDICAL CLINIC
  • Facility Address: 211 SOUTH VOLUSIA AVENUE
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 775-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK E. WEBSTER
  • NPI Number: 1407054166
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0722003
LAB Type Physician Office
Facility Name WEBSTER MEDICAL CLINIC
Street 211 SOUTH VOLUSIA AVENUE
City ORANGE CITY
State FL
ZIP 32763
Phone 386 775-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MARK E. WEBSTER

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