10D2100598 CLIA NUMBER - BEACHSIDE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2100598
  • Facility Name: BEACHSIDE MEDICAL CENTER
  • Facility Address: 233 N CAUSEWAY
    NEW SMYRNA BEACH, FL
    ZIP 32169
  • Facility Phone: 386 957-9850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DINA DOOLIN
  • NPI Number: 1891197448
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2100598
LAB Type Physician Office
Facility Name BEACHSIDE MEDICAL CENTER
Street 233 N CAUSEWAY
City NEW SMYRNA BEACH
State FL
ZIP 32169
Phone 386 957-9850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director DINA DOOLIN

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