10D1038491 CLIA NUMBER - MOSOLF PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D1038491
  • Facility Name: MOSOLF PEDIATRICS PA
  • Facility Address: 14197 SPARTINA CT
    JACKSONVILLE, FL
    ZIP 32224
  • Facility Phone: 904 249-3858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY K. MOSOLF
  • NPI Number: 1144357690
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1038491
LAB Type Physician Office
Facility Name MOSOLF PEDIATRICS PA
Street 14197 SPARTINA CT
City JACKSONVILLE
State FL
ZIP 32224
Phone 904 249-3858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director GREGORY K. MOSOLF

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