10D2108830 CLIA NUMBER - PALM COAST HOME TRAINING

Laboratory Demographics

  • CLIA Code: 10D2108830
  • Facility Name: PALM COAST HOME TRAINING
  • Facility Address: 80 PINNACLES DR STE 1000
    PALM COAST, FL
    ZIP 32164
  • Facility Phone: 615 320-4214
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAIDEEP HOSKOTE
  • NPI Number: 1235522103
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2108830
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PALM COAST HOME TRAINING
Street 80 PINNACLES DR STE 1000
City PALM COAST
State FL
ZIP 32164
Phone 615 320-4214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAIDEEP HOSKOTE

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