10D0968191 CLIA NUMBER - ORMOND FAMILY MEDICAL CENTER PLLC

Laboratory Demographics

  • CLIA Code: 10D0968191
  • Facility Name: ORMOND FAMILY MEDICAL CENTER PLLC
  • Facility Address: 545 W GRANDA BLVD
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 904 672-6243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE SANCHEZ
  • NPI Number: 1689335382
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0968191
LAB Type Physician Office
Facility Name ORMOND FAMILY MEDICAL CENTER PLLC
Street 545 W GRANDA BLVD
City ORMOND BEACH
State FL
ZIP 32174
Phone 904 672-6243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director STEPHANIE SANCHEZ

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