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Organization

COEY LABS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRANCE WARD DC (DIRECTOR)
(386) 845-4022
Entity
Organization

Contact information

Practice address
216 W FIESTA KEY LOOP, DELAND, FL 32720-3986
(386) 845-4022
Mailing address
216 W FIESTA KEY LOOP, DELAND, FL 32720-3986

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
253Z00000X
In Home Supportive Care Agency
261QH0100X
Health Service Clinic/Center
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D2286078
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)
FL
Enumeration date
07/10/2023
Last updated
10/22/2024
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