10D2079018 CLIA NUMBER - JAMES C ELMER MD PA

Laboratory Demographics

  • CLIA Code: 10D2079018
  • Facility Name: JAMES C ELMER MD PA
  • Facility Address: 300 FORTENBERRY RD
    MERRITT ISLAND, FL
    ZIP 32952
  • Facility Phone: 321 783-2213
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES C. ELMER
  • NPI Number: 1124108840
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2079018
LAB Type Physician Office
Facility Name JAMES C ELMER MD PA
Street 300 FORTENBERRY RD
City MERRITT ISLAND
State FL
ZIP 32952
Phone 321 783-2213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director JAMES C. ELMER

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