10D2181201 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT TWIN LAKES

Laboratory Demographics

  • CLIA Code: 10D2181201
  • Facility Name: ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT TWIN LAKES
  • Facility Address: 1890 LPGA BLVD - STE 140
    DAYTONA BEACH, FL
    ZIP 32117
  • Facility Phone: 386 231-3284
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUTHER ST JAMES
  • NPI Number: 1730469610
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2181201
LAB Type Physician Office
Facility Name ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT TWIN LAKES
Street 1890 LPGA BLVD - STE 140
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 231-3284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director LUTHER ST JAMES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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