10D2264565 CLIA NUMBER - DR K PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2264565
  • Facility Name: DR K PRIMARY CARE
  • Facility Address: 3801 WOODBRIAR TRAIL
    PORT ORANGE, FL
    ZIP 32129
  • Facility Phone: 386 382-7177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VARTAN KARAKOSSIAN
  • NPI Number: 1215689757
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2264565
LAB Type Physician Office
Facility Name DR K PRIMARY CARE
Street 3801 WOODBRIAR TRAIL
City PORT ORANGE
State FL
ZIP 32129
Phone 386 382-7177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director VARTAN KARAKOSSIAN

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