10D1004976 CLIA NUMBER - FIRST COAST CARDIOVASCULAR INSTITUTE LLC

Laboratory Demographics

CLIA Number: 10D1004976

Facility Name: FIRST COAST CARDIOVASCULAR INSTITUTE LLC

Facility Address:
7011 AC SKINNER PARKWAY SUITE 160
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 904 589-0847

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1083668511

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name	Field Value
CLIA Number	10D1004976
LAB Type	Physician Office
Facility Name	FIRST COAST CARDIOVASCULAR INSTITUTE LLC
Street	7011 AC SKINNER PARKWAY SUITE 160
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	904 589-0847
CertificateType	2
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Compliance

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