10D2104562 CLIA NUMBER - RYAN GRIFFIN MD

Laboratory Demographics

  • CLIA Code: 10D2104562
  • Facility Name: RYAN GRIFFIN MD
  • Facility Address: 238 CANAL BLVD STE 2
    PONTE VEDRA, FL
    ZIP 32082
  • Facility Phone: 904 395-3041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN L. GRIFFIN
  • NPI Number: 1508223363
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2104562
LAB Type Physician Office
Facility Name RYAN GRIFFIN MD
Street 238 CANAL BLVD STE 2
City PONTE VEDRA
State FL
ZIP 32082
Phone 904 395-3041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director RYAN L. GRIFFIN

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