10D2080975 CLIA NUMBER - FLORIDA PHYSICIAN SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 10D2080975
  • Facility Name: FLORIDA PHYSICIAN SPECIALISTS LLC
  • Facility Address: 710 LOMAX ST
    JACKSONVILLE, FL
    ZIP 32204
  • Facility Phone: 904 355-6583
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TROY HAMPTON
  • NPI Number: 1619221637
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2080975
LAB Type Physician Office
Facility Name FLORIDA PHYSICIAN SPECIALISTS LLC
Street 710 LOMAX ST
City JACKSONVILLE
State FL
ZIP 32204
Phone 904 355-6583
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director TROY HAMPTON

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