10D0970918 CLIA NUMBER - AFERMIN PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 10D0970918
  • Facility Name: AFERMIN PRIMARY CARE PA
  • Facility Address: 2089 S RIDGEWOOD AVE
    SOUTH DAYTONA, FL
    ZIP 32119
  • Facility Phone: 386 767-7533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK J. LARRAZABAL
  • NPI Number: 1740673300
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0970918
LAB Type Physician Office
Facility Name AFERMIN PRIMARY CARE PA
Street 2089 S RIDGEWOOD AVE
City SOUTH DAYTONA
State FL
ZIP 32119
Phone 386 767-7533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director PATRICK J. LARRAZABAL

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