10D2077491 CLIA NUMBER - NEMOURS CHILDRENS CLINIC

Home > CLIA Lookup > 10D2077491

Laboratory Demographics

CLIA Number: 10D2077491

Facility Name: NEMOURS CHILDRENS CLINIC

Facility Address:
807 CHILDRENS WAY PULMONOLOGY 8TH FL
JACKSONVILLE, FL
ZIP 32207
Get Directions

Facility Phone Number: 904 697-3804

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265585806

Taxonomy: 261QM1300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
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