10D2016417 CLIA NUMBER - PUTNAM COUNTY PUBLIC HEALTH UNIT WIC

Laboratory Demographics

  • CLIA Code: 10D2016417
  • Facility Name: PUTNAM COUNTY PUBLIC HEALTH UNIT WIC
  • Facility Address: 2801 KENNEDY ST
    PALATKA, FL
    ZIP 32177
  • Facility Phone: 386 326-3223
  • Facility Type: Other - WIC UNIT
  • Facility Type: Waiver
  • Lab Director: JOHN D. COLON
  • NPI Number: 1225094816
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2016417
LAB Type Other - WIC UNIT
Facility Name PUTNAM COUNTY PUBLIC HEALTH UNIT WIC
Street 2801 KENNEDY ST
City PALATKA
State FL
ZIP 32177
Phone 386 326-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Other - WIC UNIT
Lab Director JOHN D. COLON

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