10D2061553 CLIA NUMBER - JIROMA INC

Laboratory Demographics

  • CLIA Code: 10D2061553
  • Facility Name: JIROMA INC
  • Facility Address: 455 EDGEWOOD AVE S
    JACKSONVILLE, FL
    ZIP 32205
  • Facility Phone: 904 384-9007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES C. WHITED
  • NPI Number: 1265749428
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2061553
LAB Type Physician Office
Facility Name JIROMA INC
Street 455 EDGEWOOD AVE S
City JACKSONVILLE
State FL
ZIP 32205
Phone 904 384-9007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director JAMES C. WHITED

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