10D2140461 CLIA NUMBER - CAN COMMUNITY HEALTH, INC

Laboratory Demographics

  • CLIA Code: 10D2140461
  • Facility Name: CAN COMMUNITY HEALTH, INC
  • Facility Address: 4615 PHILLIPS HWY STE 2
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 508-0710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENZO SCOTTO D ANTUONO
  • NPI Number: 1336716653
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2140461
LAB Type Physician Office
Facility Name CAN COMMUNITY HEALTH, INC
Street 4615 PHILLIPS HWY STE 2
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 508-0710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director VINCENZO SCOTTO D ANTUONO

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