10D2041982 CLIA NUMBER - PHYSICAL MEDICINE SPECIALISTS, INC

Laboratory Demographics

  • CLIA Code: 10D2041982
  • Facility Name: PHYSICAL MEDICINE SPECIALISTS, INC
  • Facility Address: 3901 UNIVERSITY BLVD S - STE 103
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 345-7373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TREVOR PARIS
  • NPI Number: 1952343261
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2041982
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE SPECIALISTS, INC
Street 3901 UNIVERSITY BLVD S - STE 103
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 345-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director TREVOR PARIS

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