10D0269291 CLIA NUMBER - JACKSONVILLE SURGERY CENTER, LTD

Laboratory Demographics

  • CLIA Code: 10D0269291
  • Facility Name: JACKSONVILLE SURGERY CENTER, LTD
  • Facility Address: 7021 AC SKINNER PKWY
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 607-3984
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CANDY DAVIS
  • NPI Number: 1134182546
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0269291
LAB Type Ambulatory Surgery Center
Facility Name JACKSONVILLE SURGERY CENTER, LTD
Street 7021 AC SKINNER PKWY
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 607-3984
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 Ambulatory Surgery Center
Lab Director CANDY DAVIS

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