10D1080049 CLIA NUMBER - JOHNSON & JOHNSON VISION CARE-VISTAKON

Laboratory Demographics

CLIA Number: 10D1080049

Facility Name: JOHNSON & JOHNSON VISION CARE-VISTAKON

Facility Address:
7500 CENTURION PKWY
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 904 443-3031

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1760834394

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	10D1080049
LAB Type	Other
Facility Name	JOHNSON & JOHNSON VISION CARE-VISTAKON
Street	7500 CENTURION PKWY
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	904 443-3031
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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