10D1080385 CLIA NUMBER - PRC ASSOCIATES LLC

Laboratory Demographics

CLIA Number: 10D1080385

Facility Name: PRC ASSOCIATES LLC

Facility Address:
1671 N CLYDE MORRIS BLVD STE 100
DAYTONA BEACH, FL
ZIP 32117
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Facility Phone Number: 386 274-2977

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1881872877

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D1080385
LAB Type	Physician Office
Facility Name	PRC ASSOCIATES LLC
Street	1671 N CLYDE MORRIS BLVD STE 100
City	DAYTONA BEACH
State	FL
ZIP	32117
Phone	386 274-2977
CertificateType	2
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Compliance

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