10D0267074 CLIA NUMBER - ED FRASER MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 10D0267074
  • Facility Name: ED FRASER MEMORIAL HOSPITAL
  • Facility Address: 159 NORTH THIRD STREET
    MACCLENNY, FL
    ZIP 32063
  • Facility Phone: 904 259-3151
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: AMANDA M. ARONCHICK
  • NPI Number: 1093468688
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D0267074
LAB Type Hospital
Facility Name ED FRASER MEMORIAL HOSPITAL
Street 159 NORTH THIRD STREET
City MACCLENNY
State FL
ZIP 32063
Phone 904 259-3151
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Hospital
Lab Director AMANDA M. ARONCHICK

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