10D1068972 CLIA NUMBER - LAKEVIEW HEALTH SYSTEMS LLC

Laboratory Demographics

  • CLIA Code: 10D1068972
  • Facility Name: LAKEVIEW HEALTH SYSTEMS LLC
  • Facility Address: 1900 CORPORATE SQUARE BLVD
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 227-6455
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KEVIN HOLBERT
  • NPI Number: 1760548184
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1068972
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LAKEVIEW HEALTH SYSTEMS LLC
Street 1900 CORPORATE SQUARE BLVD
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 227-6455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KEVIN HOLBERT

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