10D2110564 CLIA NUMBER - ORMOND BEACH CLINICAL RESEARCH

Laboratory Demographics

  • CLIA Code: 10D2110564
  • Facility Name: ORMOND BEACH CLINICAL RESEARCH
  • Facility Address: 1400 HAND AVE STE L
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 212-4848
  • Facility Type: Other - CLINICAL RESEARCH SITE
  • Facility Type: Waiver
  • Lab Director: LAURAINE CRANDALL
  • NPI Number: 1528502242
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2110564
LAB Type Other - CLINICAL RESEARCH SITE
Facility Name ORMOND BEACH CLINICAL RESEARCH
Street 1400 HAND AVE STE L
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 212-4848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Other - CLINICAL RESEARCH SITE
Lab Director LAURAINE CRANDALL

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