10D0672834 CLIA NUMBER - AVIATA AT SAN JOSE

Laboratory Demographics

  • CLIA Code: 10D0672834
  • Facility Name: AVIATA AT SAN JOSE
  • Facility Address: 9355 SAN JOSE BLVD
    JACKSONVILLE, FL
    ZIP 32257
  • Facility Phone: 904 739-0877
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER FRANKILN
  • NPI Number: 1568731206
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0672834
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVIATA AT SAN JOSE
Street 9355 SAN JOSE BLVD
City JACKSONVILLE
State FL
ZIP 32257
Phone 904 739-0877
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 Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER FRANKILN

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