10D2059089 CLIA NUMBER - COASTAL NEUROLOGY INC

Laboratory Demographics

  • CLIA Code: 10D2059089
  • Facility Name: COASTAL NEUROLOGY INC
  • Facility Address: 725 W GRANADA BLVD STE 22
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 788-2300
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PHILIP AMUSO
  • NPI Number: 1457358434
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2059089
LAB Type Physician Office
Facility Name COASTAL NEUROLOGY INC
Street 725 W GRANADA BLVD STE 22
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 788-2300
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 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director DR. PHILIP AMUSO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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