10D2314728 CLIA NUMBER - COASTAL WOUND CARE DBA CARELINK PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2314728
  • Facility Name: COASTAL WOUND CARE DBA CARELINK PRIMARY CARE
  • Facility Address: 907 MAR WALT DRIVE SUITE 2023
    FORT WALTON BEACH, FL
    ZIP 32547
  • Facility Phone: 850 613-4024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER SCOTT REID
  • NPI Number: 1598491235
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2314728
LAB Type Physician Office
Facility Name COASTAL WOUND CARE DBA CARELINK PRIMARY CARE
Street 907 MAR WALT DRIVE SUITE 2023
City FORT WALTON BEACH
State FL
ZIP 32547
Phone 850 613-4024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director CHRISTOPHER SCOTT REID

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