10D1047122 CLIA NUMBER - LUIS F ANEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D1047122
  • Facility Name: LUIS F ANEZ MD PA
  • Facility Address: 9765 SAN JOSE BLVD #102
    JACKSONVILLE, FL
    ZIP 32257
  • Facility Phone: (904) 260-5757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS F. ANEZ MD
  • NPI Number: 1538347380
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1047122
LAB Type Physician Office
Facility Name LUIS F ANEZ MD PA
Street 9765 SAN JOSE BLVD #102
City JACKSONVILLE
State FL
ZIP 32257
Phone 9042605757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2025
Certificate Expiration Date 10/25/2027
Facility Type Physician Office
Lab Director LUIS F. ANEZ MD

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This page was last updated on: 5/15/2026