10D2089763 CLIA NUMBER - UF HEALTH DERMATOLOGY DEERWOOD PARK

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Laboratory Demographics

CLIA Number: 10D2089763

Facility Name: UF HEALTH DERMATOLOGY DEERWOOD PARK

Facility Address:
10475 CENTURION PKWY N STE 106
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 352 265-7987

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1831800952

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	10D2089763
LAB Type	Physician Office
Facility Name	UF HEALTH DERMATOLOGY DEERWOOD PARK
Street	10475 CENTURION PKWY N STE 106
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	352 265-7987
CertificateType	2
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024