10D0926183 CLIA NUMBER - PHYSICIAN GROUP SERVICES PA

Laboratory Demographics

  • CLIA Code: 10D0926183
  • Facility Name: PHYSICIAN GROUP SERVICES PA
  • Facility Address: 7855 ARGYLE FOREST BLVD STE 601
    JACKSONVILLE, FL
    ZIP 32244
  • Facility Phone: 904 778-3389
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES W. FETCHERO
  • NPI Number: 1356505986
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0926183
LAB Type Physician Office
Facility Name PHYSICIAN GROUP SERVICES PA
Street 7855 ARGYLE FOREST BLVD STE 601
City JACKSONVILLE
State FL
ZIP 32244
Phone 904 778-3389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director JAMES W. FETCHERO

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