10D0979976 CLIA NUMBER - DOCTORS MEMORIAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 10D0979976
  • Facility Name: DOCTORS MEMORIAL FAMILY MEDICINE
  • Facility Address: 117 SW VIRGINIA CIR
    MAYO, FL
    ZIP 32066
  • Facility Phone: 904 294-2475
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TAE YU
  • NPI Number: 1487613121
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0979976
LAB Type Rural Health Clinic
Facility Name DOCTORS MEMORIAL FAMILY MEDICINE
Street 117 SW VIRGINIA CIR
City MAYO
State FL
ZIP 32066
Phone 904 294-2475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Rural Health Clinic
Lab Director TAE YU

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