10D2077491 CLIA NUMBER - NEMOURS CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 10D2077491
  • Facility Name: NEMOURS CHILDRENS CLINIC
  • Facility Address: 807 CHILDRENS WAY PULMONOLOGY 8TH FL
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 697-3804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. SCHAEFFER
  • NPI Number: 1265585806
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2077491
LAB Type Physician Office
Facility Name NEMOURS CHILDRENS CLINIC
Street 807 CHILDRENS WAY PULMONOLOGY 8TH FL
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 697-3804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director DAVID A. SCHAEFFER

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