10D0716285 CLIA NUMBER - RIVERSIDE PARK SURGICENTER

Laboratory Demographics

  • CLIA Code: 10D0716285
  • Facility Name: RIVERSIDE PARK SURGICENTER
  • Facility Address: 2001 COLLEGE STREET
    JACKSONVILLE, FL
    ZIP 32204
  • Facility Phone: 904 355-9800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEAN P. BEEDE
  • NPI Number: 1881697522
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0716285
LAB Type Ambulatory Surgery Center
Facility Name RIVERSIDE PARK SURGICENTER
Street 2001 COLLEGE STREET
City JACKSONVILLE
State FL
ZIP 32204
Phone 904 355-9800
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 JEAN P. BEEDE

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