10D2085474 CLIA NUMBER - EPISCOPAL CHILDRENS SERVICES

Laboratory Demographics

  • CLIA Code: 10D2085474
  • Facility Name: EPISCOPAL CHILDRENS SERVICES
  • Facility Address: 8649 BAYPINE RD BLDG 7 STE 300
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 726-1500
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JAMILA A. GREEN
  • NPI Number: 1528463072
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 10D2085474
LAB Type Mobile Laboratory
Facility Name EPISCOPAL CHILDRENS SERVICES
Street 8649 BAYPINE RD BLDG 7 STE 300
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 726-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Mobile Laboratory
Lab Director JAMILA A. GREEN

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