10D2039775 CLIA NUMBER - FLORIDA PHYSICIAN SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 10D2039775
  • Facility Name: FLORIDA PHYSICIAN SPECIALISTS LLC
  • Facility Address: 6269 BEACH BLVD STE 2
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 727-7955
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: OBADIA MFUH KENJI
  • NPI Number: 1083959563
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2039775
LAB Type Physician Office
Facility Name FLORIDA PHYSICIAN SPECIALISTS LLC
Street 6269 BEACH BLVD STE 2
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 727-7955
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director OBADIA MFUH KENJI

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