10D1069056 CLIA NUMBER - BORLAND GROOVER CLINIC

Laboratory Demographics

CLIA Number: 10D1069056

Facility Name: BORLAND GROOVER CLINIC

Facility Address:
4800 BELFORT RD
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 904 398-7205

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881644912

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D1069056
LAB Type	Physician Office
Facility Name	BORLAND GROOVER CLINIC
Street	4800 BELFORT RD
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	904 398-7205
CertificateType	4
CertificateEffectiveDate	5/28/2023
CertificateExpirationDate	5/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024