10D1011491 CLIA NUMBER - CLAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1011491
  • Facility Name: CLAY SURGERY CENTER
  • Facility Address: 1564 KINGSLEY AVE
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 264-0400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RACHEL WOLF
  • NPI Number: 1184601221
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1011491
LAB Type Ambulatory Surgery Center
Facility Name CLAY SURGERY CENTER
Street 1564 KINGSLEY AVE
City ORANGE PARK
State FL
ZIP 32073
Phone 904 264-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Ambulatory Surgery Center
Lab Director RACHEL WOLF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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