10D2112272 CLIA NUMBER - ACE MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 10D2112272
  • Facility Name: ACE MEDICAL LLC
  • Facility Address: 6428 BEACH BLVD
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 475-2039
  • Facility Type: Other - MEDICAL GROUP PRACTICE
  • Facility Type: Waiver
  • Lab Director: GEORGE CAMACHO
  • NPI Number: 1710654199
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2112272
LAB Type Other - MEDICAL GROUP PRACTICE
Facility Name ACE MEDICAL LLC
Street 6428 BEACH BLVD
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 475-2039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Other - MEDICAL GROUP PRACTICE
Lab Director GEORGE CAMACHO

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