10D1105827 CLIA NUMBER - NEUROTECH INC

Laboratory Demographics

  • CLIA Code: 10D1105827
  • Facility Name: NEUROTECH INC
  • Facility Address: 930 KINGSLEY AVE
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 269-0500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH M. SHAUGHNESSY
  • NPI Number: 1396828448
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1105827
LAB Type Physician Office
Facility Name NEUROTECH INC
Street 930 KINGSLEY AVE
City ORANGE PARK
State FL
ZIP 32073
Phone 904 269-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director JOSEPH M. SHAUGHNESSY

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