10D2004362 CLIA NUMBER - RIVERSIDE SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2004362
  • Facility Name: RIVERSIDE SURGICAL CENTER
  • Facility Address: 7207 GOLDEN WINGS RD STE 200
    JACKSONVILLE, FL
    ZIP 32244
  • Facility Phone: 904 389-1010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: COLE R. LINVILLE
  • NPI Number: 1134478209
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 10D2004362
LAB Type Ambulatory Surgery Center
Facility Name RIVERSIDE SURGICAL CENTER
Street 7207 GOLDEN WINGS RD STE 200
City JACKSONVILLE
State FL
ZIP 32244
Phone 904 389-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Ambulatory Surgery Center
Lab Director COLE R. LINVILLE

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