10D2065833 CLIA NUMBER - MCIVER UROLOGICAL CLINIC

Laboratory Demographics

  • CLIA Code: 10D2065833
  • Facility Name: MCIVER UROLOGICAL CLINIC
  • Facility Address: 8774 PERIMETER PARK BLVD
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 355-6583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLINT COLLINS
  • NPI Number: 1457529786
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2065833
LAB Type Physician Office
Facility Name MCIVER UROLOGICAL CLINIC
Street 8774 PERIMETER PARK BLVD
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 355-6583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director CLINT COLLINS

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