10D0934655 CLIA NUMBER - PHYSICIANS GROUP SERVICES PA DBA FAMILY FIRST MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D0934655
  • Facility Name: PHYSICIANS GROUP SERVICES PA DBA FAMILY FIRST MEDICAL CENTER
  • Facility Address: 5445 NORWOOD AVENUE
    JACKSONVILLE, FL
    ZIP 32208
  • Facility Phone: 904 765-7075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT DAJAC
  • NPI Number: 1184888711
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0934655
LAB Type Physician Office
Facility Name PHYSICIANS GROUP SERVICES PA DBA FAMILY FIRST MEDICAL CENTER
Street 5445 NORWOOD AVENUE
City JACKSONVILLE
State FL
ZIP 32208
Phone 904 765-7075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director ROBERT DAJAC

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