10D2085724 CLIA NUMBER - ACKERMAN CANCER CENTER

Laboratory Demographics

  • CLIA Code: 10D2085724
  • Facility Name: ACKERMAN CANCER CENTER
  • Facility Address: 10881 SAN JOSE BLVD
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 260-3022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOT N. ACKERMAN
  • NPI Number: 1013542919
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2085724
LAB Type Physician Office
Facility Name ACKERMAN CANCER CENTER
Street 10881 SAN JOSE BLVD
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 260-3022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director SCOT N. ACKERMAN

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