10D1055355 CLIA NUMBER - SOUTHPOINT SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1055355
  • Facility Name: SOUTHPOINT SURGERY CENTER LLC
  • Facility Address: 7051 SOUTHPOINT PKWY
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 854-4854
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MCGREGOR LOTT
  • NPI Number: 1457610172
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1055355
LAB Type Ambulatory Surgery Center
Facility Name SOUTHPOINT SURGERY CENTER LLC
Street 7051 SOUTHPOINT PKWY
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 854-4854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Ambulatory Surgery Center
Lab Director MCGREGOR LOTT

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