10D0932834 CLIA NUMBER - FIRST COAST WOMENS SERVICE

Laboratory Demographics

  • CLIA Code: 10D0932834
  • Facility Name: FIRST COAST WOMENS SERVICE
  • Facility Address: 11215 SAN JOSE BLVD
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 262-6350
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RICHARD L. MYERS
  • NPI Number: 1487146890
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 10D0932834
LAB Type Other
Facility Name FIRST COAST WOMENS SERVICE
Street 11215 SAN JOSE BLVD
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 262-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Other
Lab Director RICHARD L. MYERS

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