10D0269140 CLIA NUMBER - GEORGE MIQUEL JR MD

Laboratory Demographics

  • CLIA Code: 10D0269140
  • Facility Name: GEORGE MIQUEL JR MD
  • Facility Address: 3599 S UNIVERSITY BLVD #505
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 399-8090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE MIQUEL
  • NPI Number: 1134200066
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D0269140
LAB Type Physician Office
Facility Name GEORGE MIQUEL JR MD
Street 3599 S UNIVERSITY BLVD #505
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 399-8090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GEORGE MIQUEL

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