| Entity Name: | COEY LABS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Jul 2023 (2 years ago) |
| Document Number: | L23000320033 |
| FEI/EIN Number | N/A |
| Address: | 216 W FIESTA KEY LOOP, DELAND, FL 32720 |
| Mail Address: | 216 W FIESTA KEY LOOP, DELAND, FL 32720 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255019113 | 2023-07-10 | 2024-10-22 | 216 W FIESTA KEY LOOP, DELAND, FL, 327203986, US | 216 W FIESTA KEY LOOP, DELAND, FL, 327203986, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-845-4022 |
Authorized person
| Name | TERRANCE WARD |
| Role | DIRECTOR |
| Phone | 3868454022 |
Taxonomy
| Taxonomy Code | 246RP1900X - Phlebotomy Technician |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) |
| Number | 10D2286078 |
| State | FL |
| Name | Role |
|---|---|
| REPUBLIC REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WARD, TERRANCE | Authorized Member | 216 W FIESTA KEY LOOP, DELAND, FL 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | REPUBLIC REGISTERED AGENT LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 1150 NW 72ND AVE TOWER 1, STE 455, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-07-06 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
