10D0926743 CLIA NUMBER - BROOKDALE MANDARIN CENTRAL

Laboratory Demographics

  • CLIA Code: 10D0926743
  • Facility Name: BROOKDALE MANDARIN CENTRAL
  • Facility Address: 10875 OLD ST AUGUSTINE RD
    JACKSONVILLE, FL
    ZIP 32257
  • Facility Phone: 904 880-4040
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TRACY JONES
  • NPI Number: 1679875066
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0926743
LAB Type Other
Facility Name BROOKDALE MANDARIN CENTRAL
Street 10875 OLD ST AUGUSTINE RD
City JACKSONVILLE
State FL
ZIP 32257
Phone 904 880-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Other
Lab Director TRACY JONES

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This page was last updated on: 6/4/2025