10D2013182 CLIA NUMBER - PALATKA VA CBOC

Laboratory Demographics

  • CLIA Code: 10D2013182
  • Facility Name: PALATKA VA CBOC
  • Facility Address: 400 NORTH STATE ROAD 19
    PALATKA, FL
    ZIP 32177
  • Facility Phone: 010 101-1100
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ROBERT W. ALLAN
  • NPI Number: 1508172628
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2013182
LAB Type Community Clinic
Facility Name PALATKA VA CBOC
Street 400 NORTH STATE ROAD 19
City PALATKA
State FL
ZIP 32177
Phone 010 101-1100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/15/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ROBERT W. ALLAN

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