10D2048030 CLIA NUMBER - VK MEDICAL GROUP LLC

Home > CLIA Lookup > 10D2048030

Laboratory Demographics

CLIA Number: 10D2048030

Facility Name: VK MEDICAL GROUP LLC

Facility Address:
1218 PARK AVE
ORANGE PARK, FL
ZIP 32073
Get Directions

Facility Phone Number: 904 269-2437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023529096

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D2048030
LAB Type	Physician Office
Facility Name	VK MEDICAL GROUP LLC
Street	1218 PARK AVE
City	ORANGE PARK
State	FL
ZIP	32073
Phone	904 269-2437
CertificateType	4
CertificateEffectiveDate	10/9/2022
CertificateExpirationDate	10/8/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024