10D0963091 CLIA NUMBER - MEDIQUICK URGENT CARE CENTERS INC

Laboratory Demographics

CLIA Number: 10D0963091

Facility Name: MEDIQUICK URGENT CARE CENTERS INC

Facility Address:
6 OFFICE PARK DR
PALM COAST, FL
ZIP 32137
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Facility Phone Number: 386 447-6615

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1053363036

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0963091
LAB Type	Physician Office
Facility Name	MEDIQUICK URGENT CARE CENTERS INC
Street	6 OFFICE PARK DR
City	PALM COAST
State	FL
ZIP	32137
Phone	386 447-6615
CertificateType	2
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024