10D2112494 CLIA NUMBER - DUVAL VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 10D2112494
  • Facility Name: DUVAL VASCULAR CENTER
  • Facility Address: 915 W MONROE ST STE 101
    JACKSONVILLE, FL
    ZIP 32204
  • Facility Phone: 904 518-1398
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL WILSON
  • NPI Number: 1013375195
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2112494
LAB Type Physician Office
Facility Name DUVAL VASCULAR CENTER
Street 915 W MONROE ST STE 101
City JACKSONVILLE
State FL
ZIP 32204
Phone 904 518-1398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director DANIEL WILSON

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