10D0939803 CLIA NUMBER - PALM COAST WOMENS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0939803
  • Facility Name: PALM COAST WOMENS CENTER LLC
  • Facility Address: 21 HOSPITAL DR #270
    PALM COAST, FL
    ZIP 32164
  • Facility Phone: 386 437-5959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN J. BROWN
  • NPI Number: 1265624852
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0939803
LAB Type Physician Office
Facility Name PALM COAST WOMENS CENTER LLC
Street 21 HOSPITAL DR #270
City PALM COAST
State FL
ZIP 32164
Phone 386 437-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director STEVEN J. BROWN

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