10D0990923 CLIA NUMBER - SUWANNEE VALLEY NURSING CENTER

Laboratory Demographics

  • CLIA Code: 10D0990923
  • Facility Name: SUWANNEE VALLEY NURSING CENTER
  • Facility Address: 427 NW 15TH AVE
    JASPER, FL
    ZIP 32052
  • Facility Phone: 386 792-1868
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RACHEL ROGERS
  • NPI Number: 1720002819
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0990923
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUWANNEE VALLEY NURSING CENTER
Street 427 NW 15TH AVE
City JASPER
State FL
ZIP 32052
Phone 386 792-1868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RACHEL ROGERS

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