10D1086879 CLIA NUMBER - PRC ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D1086879
  • Facility Name: PRC ASSOCIATES LLC
  • Facility Address: 21 HOSPITAL DR STE 170
    PALM COAST, FL
    ZIP 32164
  • Facility Phone: 386 586-2280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINOD K. MALIK
  • NPI Number: 1831228816
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1086879
LAB Type Physician Office
Facility Name PRC ASSOCIATES LLC
Street 21 HOSPITAL DR STE 170
City PALM COAST
State FL
ZIP 32164
Phone 386 586-2280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director VINOD K. MALIK

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