10D2181923 CLIA NUMBER - FLORIDA HEALTH CARE PLAN INC

Laboratory Demographics

  • CLIA Code: 10D2181923
  • Facility Name: FLORIDA HEALTH CARE PLAN INC
  • Facility Address: 330 N CLYDE MORRIS BOULEVARD
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 676-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH LE
  • NPI Number: 1164546875
  • Taxonomy: 3336M0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2181923
LAB Type Physician Office
Facility Name FLORIDA HEALTH CARE PLAN INC
Street 330 N CLYDE MORRIS BOULEVARD
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 676-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director DR. ELIZABETH LE

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