10D2210410 CLIA NUMBER - PROGRESSIVE MEDICAL COMMUNITY, LLC

Laboratory Demographics

  • CLIA Code: 10D2210410
  • Facility Name: PROGRESSIVE MEDICAL COMMUNITY, LLC
  • Facility Address: 1717 N CLYDE MORRIS BLVD STE 120
    DAYTONA BEACH, FL
    ZIP 32117
  • Facility Phone: 386 523-9525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID W. BILLMEIER
  • NPI Number: 1982224390
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2210410
LAB Type Physician Office
Facility Name PROGRESSIVE MEDICAL COMMUNITY, LLC
Street 1717 N CLYDE MORRIS BLVD STE 120
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 523-9525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director DAVID W. BILLMEIER

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