10D1084555 CLIA NUMBER - RIVERSIDE SPINE AND PAIN PHYSICIANS PL

Laboratory Demographics

  • CLIA Code: 10D1084555
  • Facility Name: RIVERSIDE SPINE AND PAIN PHYSICIANS PL
  • Facility Address: 7740 POINT MEADOWS DRIVE #6
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 389-1010
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ELVIRA BARROSO
  • NPI Number: 1639208648
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1084555
LAB Type Physician Office
Facility Name RIVERSIDE SPINE AND PAIN PHYSICIANS PL
Street 7740 POINT MEADOWS DRIVE #6
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 389-1010
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director DR. ELVIRA BARROSO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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