10D2176579 CLIA NUMBER - GARRETT INTERNAL MEDICINE PA

Laboratory Demographics

  • CLIA Code: 10D2176579
  • Facility Name: GARRETT INTERNAL MEDICINE PA
  • Facility Address: 50 LEANNI WAY STE A3-4
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 386 225-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE E. GARRETT
  • NPI Number: 1578954681
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2176579
LAB Type Physician Office
Facility Name GARRETT INTERNAL MEDICINE PA
Street 50 LEANNI WAY STE A3-4
City PALM COAST
State FL
ZIP 32137
Phone 386 225-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director CHRISTINE E. GARRETT

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