10D1075935 CLIA NUMBER - FIRST COAST WOMENS SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D1075935
  • Facility Name: FIRST COAST WOMENS SERVICES INC
  • Facility Address: 368 S 5TH ST
    MACCLENNY, FL
    ZIP 32063
  • Facility Phone: 904 262-6300
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RICHARD L. MYERS
  • NPI Number: 1053523670
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1075935
LAB Type Other
Facility Name FIRST COAST WOMENS SERVICES INC
Street 368 S 5TH ST
City MACCLENNY
State FL
ZIP 32063
Phone 904 262-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other
Lab Director RICHARD L. MYERS

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