10D2125374 CLIA NUMBER - HEALTH PRO MEDICAL

Laboratory Demographics

  • CLIA Code: 10D2125374
  • Facility Name: HEALTH PRO MEDICAL
  • Facility Address: 8016 ATLANTIC BLVD
    JACKSONVILLE, FL
    ZIP 32211
  • Facility Phone: 904 619-8687
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CICERON V. LAZO
  • NPI Number: 1376053124
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2125374
LAB Type Physician Office
Facility Name HEALTH PRO MEDICAL
Street 8016 ATLANTIC BLVD
City JACKSONVILLE
State FL
ZIP 32211
Phone 904 619-8687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director CICERON V. LAZO

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