10D2269934 CLIA NUMBER - SPACE COAST URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2269934
  • Facility Name: SPACE COAST URGENT CARE LLC
  • Facility Address: 890 E EAU GALLIE BLVD
    INDIAN HARBOR BEACH, FL
    ZIP 32937
  • Facility Phone: 321 722-7556
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LOGAN ARBOGAST
  • NPI Number: 1396405718
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2269934
LAB Type Other - URGENT CARE
Facility Name SPACE COAST URGENT CARE LLC
Street 890 E EAU GALLIE BLVD
City INDIAN HARBOR BEACH
State FL
ZIP 32937
Phone 321 722-7556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Other - URGENT CARE
Lab Director LOGAN ARBOGAST

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