39D1051841 CLIA NUMBER - WHITNEY SHOEMAKER DO LLC

Laboratory Demographics

  • CLIA Code: 39D1051841
  • Facility Name: WHITNEY SHOEMAKER DO LLC
  • Facility Address: 598 STERTHAUS DR
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 256-2565
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WHITNEY SHOEMAKER
  • NPI Number: 1750328514
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D1051841
LAB Type Physician Office
Facility Name WHITNEY SHOEMAKER DO LLC
Street 598 STERTHAUS DR
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 256-2565
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director WHITNEY SHOEMAKER

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