10D2017795 CLIA NUMBER - PACIFICA CARE PLLC

Laboratory Demographics

  • CLIA Code: 10D2017795
  • Facility Name: PACIFICA CARE PLLC
  • Facility Address: 13121 ATLANTIC BLVD STE 100
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: (904) 221-2232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONNA B. TREESH
  • NPI Number: 1669775037
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2017795
LAB Type Physician Office
Facility Name PACIFICA CARE PLLC
Street 13121 ATLANTIC BLVD STE 100
City JACKSONVILLE
State FL
ZIP 32225
Phone 9042212232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DONNA B. TREESH

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This page was last updated on: 5/18/2026