10D0951911 CLIA NUMBER - ROBERT H JENKINS JR VETERANS' DOMICILIARY HOME OF FLORDIA

Laboratory Demographics

  • CLIA Code: 10D0951911
  • Facility Name: ROBERT H JENKINS JR VETERANS' DOMICILIARY HOME OF FLORDIA
  • Facility Address: 751 SE SYCAMORE TERRACE
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 904 758-0600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LEOPOLD B. LEBLIQUE
  • NPI Number: 1659500817
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0951911
LAB Type Other
Facility Name ROBERT H JENKINS JR VETERANS' DOMICILIARY HOME OF FLORDIA
Street 751 SE SYCAMORE TERRACE
City LAKE CITY
State FL
ZIP 32025
Phone 904 758-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other
Lab Director LEOPOLD B. LEBLIQUE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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