10D1063710 CLIA NUMBER - FLEMING ISLAND SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D1063710
  • Facility Name: FLEMING ISLAND SURGERY CENTER, LLC
  • Facility Address: 1670 EAGLE HARBOR PKWY SUITE
    ORANGE PARK, FL
    ZIP 32003
  • Facility Phone: 904 644-0711
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONALD M. DOWNER
  • NPI Number: 1457428005
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1063710
LAB Type Ambulatory Surgery Center
Facility Name FLEMING ISLAND SURGERY CENTER, LLC
Street 1670 EAGLE HARBOR PKWY SUITE
City ORANGE PARK
State FL
ZIP 32003
Phone 904 644-0711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Ambulatory Surgery Center
Lab Director DONALD M. DOWNER

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