10D2092755 CLIA NUMBER - URGENT CARE & FAMILY PRACTICE CENTER

Laboratory Demographics

  • CLIA Code: 10D2092755
  • Facility Name: URGENT CARE & FAMILY PRACTICE CENTER
  • Facility Address: 405 N CLYDE MORRIS BLVD
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 506-8555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMED EJAZ
  • NPI Number: 1245636042
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2092755
LAB Type Physician Office
Facility Name URGENT CARE & FAMILY PRACTICE CENTER
Street 405 N CLYDE MORRIS BLVD
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 506-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director AHMED EJAZ

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