10D2125540 CLIA NUMBER - HOME DOCS

Laboratory Demographics

  • CLIA Code: 10D2125540
  • Facility Name: HOME DOCS
  • Facility Address: 341 W MINNESOTA AVE
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 316-5439
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN CROKER
  • NPI Number: 1518347038
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2125540
LAB Type Practitioner Other
Facility Name HOME DOCS
Street 341 W MINNESOTA AVE
City ORANGE CITY
State FL
ZIP 32763
Phone 386 316-5439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Practitioner Other
Lab Director JOHN CROKER

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