10D2076184 CLIA NUMBER - HALIFAX HEALTH PRIMARY CARE ORMOND

Laboratory Demographics

  • CLIA Code: 10D2076184
  • Facility Name: HALIFAX HEALTH PRIMARY CARE ORMOND
  • Facility Address: 1688 W GRANADA BLVD STE 2A
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 425-4460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LESLIE WILLIAMS
  • NPI Number: 1013081215
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2076184
LAB Type Physician Office
Facility Name HALIFAX HEALTH PRIMARY CARE ORMOND
Street 1688 W GRANADA BLVD STE 2A
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 425-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director LESLIE WILLIAMS

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