10D0922661 CLIA NUMBER - AVIATA AT GRAND OAKS

Laboratory Demographics

  • CLIA Code: 10D0922661
  • Facility Name: AVIATA AT GRAND OAKS
  • Facility Address: 3001 PALM COAST BLVD SE
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 386 446-6060
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY S. MCKINNEY
  • NPI Number: 1083983720
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0922661
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT GRAND OAKS
Street 3001 PALM COAST BLVD SE
City PALM COAST
State FL
ZIP 32137
Phone 386 446-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY S. MCKINNEY

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