10D0933518 CLIA NUMBER - HILLEARY ROCKWELL III MD

Laboratory Demographics

  • CLIA Code: 10D0933518
  • Facility Name: HILLEARY ROCKWELL III MD
  • Facility Address: 2360 PARK STREET
    JACKSONVILLE, FL
    ZIP 32204
  • Facility Phone: 904 387-7682
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HILLEARY C. ROCKWELL
  • NPI Number: 1790770758
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0933518
LAB Type Physician Office
Facility Name HILLEARY ROCKWELL III MD
Street 2360 PARK STREET
City JACKSONVILLE
State FL
ZIP 32204
Phone 904 387-7682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director HILLEARY C. ROCKWELL

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