10D1004939 CLIA NUMBER - CLINICAL NEUROSCIENCE SOLUTIONS INC

Laboratory Demographics

CLIA Number: 10D1004939

Facility Name: CLINICAL NEUROSCIENCE SOLUTIONS INC

Facility Address:
5200 BELFORT RD STE 420
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 407 903-1680

Facility Type: Other - RESEARCH FACILITY

Certificate Type: Waiver

NPI Number: 1447527452

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1004939
LAB Type	Other - RESEARCH FACILITY
Facility Name	CLINICAL NEUROSCIENCE SOLUTIONS INC
Street	5200 BELFORT RD STE 420
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	407 903-1680
CertificateType	4
CertificateEffectiveDate	10/10/2022
CertificateExpirationDate	10/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024