10D2043319 CLIA NUMBER - ADVENTHEALTH LAB

Laboratory Demographics

  • CLIA Code: 10D2043319
  • Facility Name: ADVENTHEALTH LAB
  • Facility Address: 120 CYPRESS EDGE DR STE 103
    PALM COAST, FL
    ZIP 32164
  • Facility Phone: 386 586-4370
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DAWN DURSO
  • NPI Number: 1679678486
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2043319
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ADVENTHEALTH LAB
Street 120 CYPRESS EDGE DR STE 103
City PALM COAST
State FL
ZIP 32164
Phone 386 586-4370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DAWN DURSO

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