10D2037102 CLIA NUMBER - JANET M MINT OD PA

Laboratory Demographics

  • CLIA Code: 10D2037102
  • Facility Name: JANET M MINT OD PA
  • Facility Address: 4131 SOUTHSIDE BLVD STE 203
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 646-9737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANET M. MINT
  • NPI Number: 1902894777
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2037102
LAB Type Physician Office
Facility Name JANET M MINT OD PA
Street 4131 SOUTHSIDE BLVD STE 203
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 646-9737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director JANET M. MINT

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