10D2068554 CLIA NUMBER - ST VINCENTS FULL SERVICE URGENT CARE LLC DBS ASCENSION ST VINCENTS URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D2068554
  • Facility Name: ST VINCENTS FULL SERVICE URGENT CARE LLC DBS ASCENSION ST VINCENTS URGENT CARE
  • Facility Address: 7963 NORMANDY BLVD
    JACKSONVILLE, FL
    ZIP 32221
  • Facility Phone: 904 786-0440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DALE TUCKER
  • NPI Number: 1902232820
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2068554
LAB Type Physician Office
Facility Name ST VINCENTS FULL SERVICE URGENT CARE LLC DBS ASCENSION ST VINCENTS URGENT CARE
Street 7963 NORMANDY BLVD
City JACKSONVILLE
State FL
ZIP 32221
Phone 904 786-0440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director DALE TUCKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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