10D1027473 CLIA NUMBER - JACKSONVILLE CARDIOVASCULAR CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1027473
  • Facility Name: JACKSONVILLE CARDIOVASCULAR CENTER LLC
  • Facility Address: 4131 UNIVERSITY BLVD S - BLDG 17
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 905 805-9600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WADDAH SALMAN
  • NPI Number: 1831461433
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1027473
LAB Type Physician Office
Facility Name JACKSONVILLE CARDIOVASCULAR CENTER LLC
Street 4131 UNIVERSITY BLVD S - BLDG 17
City JACKSONVILLE
State FL
ZIP 32216
Phone 905 805-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director WADDAH SALMAN

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