10D2212386 CLIA NUMBER - HEARTHSTONE FELLOWSHIP FOUNDATION INC

Laboratory Demographics

  • CLIA Code: 10D2212386
  • Facility Name: HEARTHSTONE FELLOWSHIP FOUNDATION INC
  • Facility Address: 814 N BEACH STREET
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 238-1348
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JANET G. MINOR
  • NPI Number: 1881003101
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2212386
LAB Type Comp. Outpatient Rehab Facility
Facility Name HEARTHSTONE FELLOWSHIP FOUNDATION INC
Street 814 N BEACH STREET
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 238-1348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JANET G. MINOR

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