10D1004976 CLIA NUMBER - FIRST COAST CARDIOVASCULAR INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 10D1004976
  • Facility Name: FIRST COAST CARDIOVASCULAR INSTITUTE LLC
  • Facility Address: 7011 AC SKINNER PARKWAY SUITE 160
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 589-0847
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. YAZAN KHATIB
  • NPI Number: 1053586859
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director DR. YAZAN KHATIB

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