10D2147247 CLIA NUMBER - AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC

Laboratory Demographics

CLIA Number: 10D2147247

Facility Name: AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC

Facility Address:
2416 DUNN AVE
JACKSONVILLE, FL
ZIP 32218
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Facility Phone Number: 850 444-4700

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1316139918

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2147247
LAB Type	Ambulatory Surgery Center
Facility Name	AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC
Street	2416 DUNN AVE
City	JACKSONVILLE
State	FL
ZIP	32218
Phone	850 444-4700
CertificateType	4
CertificateEffectiveDate	4/16/2024
CertificateExpirationDate	4/15/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024