10D1074298 CLIA NUMBER - PRC ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D1074298
  • Facility Name: PRC ASSOCIATES LLC
  • Facility Address: 2720 REBECCA LANE SUITE 104
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 456-1160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINOD K. MALIK
  • NPI Number: 1457480444
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1074298
LAB Type Physician Office
Facility Name PRC ASSOCIATES LLC
Street 2720 REBECCA LANE SUITE 104
City ORANGE CITY
State FL
ZIP 32763
Phone 386 456-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director VINOD K. MALIK

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