10D2286776 CLIA NUMBER - ADVENTHEALTH HOSPICE

Laboratory Demographics

  • CLIA Code: 10D2286776
  • Facility Name: ADVENTHEALTH HOSPICE
  • Facility Address: 150 MEMORIAL MEDICAL PARKWAY
    PALM COAST, FL
    ZIP 32164
  • Facility Phone: 386 586-1500
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TABITHA MENDEZ
  • NPI Number: 1275640997
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2286776
LAB Type Hospice
Facility Name ADVENTHEALTH HOSPICE
Street 150 MEMORIAL MEDICAL PARKWAY
City PALM COAST
State FL
ZIP 32164
Phone 386 586-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Hospice
Lab Director TABITHA MENDEZ

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