10D2091685 CLIA NUMBER - PRC ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D2091685
  • Facility Name: PRC ASSOCIATES LLC
  • Facility Address: 245 N CAUSEWAY
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Facility Phone: 386 410-4926
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINOD MALIK
  • NPI Number: 1326453747
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2091685
LAB Type Physician Office
Facility Name PRC ASSOCIATES LLC
Street 245 N CAUSEWAY
City NEW SMYRNA BEACH
State FL
ZIP 32168
Phone 386 410-4926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director VINOD MALIK

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