10D2077051 CLIA NUMBER - PROGRESSIVE MEDICAL LAB LLC

Laboratory Demographics

  • CLIA Code: 10D2077051
  • Facility Name: PROGRESSIVE MEDICAL LAB LLC
  • Facility Address: 345 BEVILLE RD STE 101A
    S DAYTONA, FL
    ZIP 32119
  • Facility Phone: 386 788-8000
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES K. ALLEN
  • NPI Number: 1225432867
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2077051
LAB Type Independent
Facility Name PROGRESSIVE MEDICAL LAB LLC
Street 345 BEVILLE RD STE 101A
City S DAYTONA
State FL
ZIP 32119
Phone 386 788-8000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Independent
Lab Director JAMES K. ALLEN

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