10D0697932 CLIA NUMBER - JOHNNY N JADA MD PA

Laboratory Demographics

  • CLIA Code: 10D0697932
  • Facility Name: JOHNNY N JADA MD PA
  • Facility Address: 355O UNIVERSITY BLVD S STE 206
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 737-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNNY N. JADA
  • NPI Number: 1154736304
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0697932
LAB Type Physician Office
Facility Name JOHNNY N JADA MD PA
Street 355O UNIVERSITY BLVD S STE 206
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 737-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director JOHNNY N. JADA

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