10D0858342 CLIA NUMBER - DAYTONA BEACH SHORES DEPT OF PUBLIC SAFETY

Laboratory Demographics

  • CLIA Code: 10D0858342
  • Facility Name: DAYTONA BEACH SHORES DEPT OF PUBLIC SAFETY
  • Facility Address: 3050 SOUTH ATLANTIC AVENUE
    DAYTONA BEACH, FL
    ZIP 32118
  • Facility Phone: 386 763-5333
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: STEPHAN DEMBINSKY
  • NPI Number: 1841469962
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D0858342
LAB Type Mobile Laboratory
Facility Name DAYTONA BEACH SHORES DEPT OF PUBLIC SAFETY
Street 3050 SOUTH ATLANTIC AVENUE
City DAYTONA BEACH
State FL
ZIP 32118
Phone 386 763-5333
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 Mobile Laboratory
Lab Director STEPHAN DEMBINSKY

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