10D0710211 CLIA NUMBER - FAMILY MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 10D0710211
  • Facility Name: FAMILY MEDICAL CENTERS
  • Facility Address: 1555 KINGSLEY AVE STE 601
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 264-0264
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: T MICHAEL HARDIN
  • NPI Number: 1932363629
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0710211
LAB Type Physician Office
Facility Name FAMILY MEDICAL CENTERS
Street 1555 KINGSLEY AVE STE 601
City ORANGE PARK
State FL
ZIP 32073
Phone 904 264-0264
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director T MICHAEL HARDIN

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