10D2039382 CLIA NUMBER - JACKSONVILLE ARLINGTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 10D2039382
  • Facility Name: JACKSONVILLE ARLINGTON DIALYSIS
  • Facility Address: 929 UNIVERSITY BLVD N
    JACKSONVILLE, FL
    ZIP 32211
  • Facility Phone: 904 743-1689
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KADIR MANSUR
  • NPI Number: 1639448467
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2039382
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JACKSONVILLE ARLINGTON DIALYSIS
Street 929 UNIVERSITY BLVD N
City JACKSONVILLE
State FL
ZIP 32211
Phone 904 743-1689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KADIR MANSUR

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