10D1101477 CLIA NUMBER - FLEMING ISLAND CENTER FOR CLINICAL RESEARCH

Laboratory Demographics

  • CLIA Code: 10D1101477
  • Facility Name: FLEMING ISLAND CENTER FOR CLINICAL RESEARCH
  • Facility Address: 1679 EAGLE HARBOR PKWY STE D
    FLEMING ISLAND, FL
    ZIP 32003
  • Facility Phone: 904 730-0101
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. STEPHENS
  • NPI Number: 1497128953
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1101477
LAB Type Other
Facility Name FLEMING ISLAND CENTER FOR CLINICAL RESEARCH
Street 1679 EAGLE HARBOR PKWY STE D
City FLEMING ISLAND
State FL
ZIP 32003
Phone 904 730-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Other
Lab Director MICHAEL A. STEPHENS

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