10D2297338 CLIA NUMBER - UPPERLINE HEALTHCARE PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 10D2297338
  • Facility Name: UPPERLINE HEALTHCARE PROFESSIONAL CORPORATION
  • Facility Address: 21 HOSPITAL DRIVE SUITE 170A
    PALM COAST, FL
    ZIP 32164
  • Facility Phone: 713 392-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI N. STAR
  • NPI Number: 1497339543
  • Taxonomy: 213ES0131X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2297338
LAB Type Physician Office
Facility Name UPPERLINE HEALTHCARE PROFESSIONAL CORPORATION
Street 21 HOSPITAL DRIVE SUITE 170A
City PALM COAST
State FL
ZIP 32164
Phone 713 392-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director LORI N. STAR

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