10D2003926 CLIA NUMBER - ANGEL KIDS PA

Laboratory Demographics

  • CLIA Code: 10D2003926
  • Facility Name: ANGEL KIDS PA
  • Facility Address: 8226 NORMANDY BLVD
    JACKSONVILLE, FL
    ZIP 32221
  • Facility Phone: 904 242-4220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHRAF A. AFFAN
  • NPI Number: 1386210367
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2003926
LAB Type Physician Office
Facility Name ANGEL KIDS PA
Street 8226 NORMANDY BLVD
City JACKSONVILLE
State FL
ZIP 32221
Phone 904 242-4220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director ASHRAF A. AFFAN

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