10D2149782 CLIA NUMBER - DCI JACKSONVILLE MID-TOWN

Laboratory Demographics

  • CLIA Code: 10D2149782
  • Facility Name: DCI JACKSONVILLE MID-TOWN
  • Facility Address: 757 WEST UNION STREET
    JACKSONVILLE, FL
    ZIP 32202
  • Facility Phone: 904 539-4963
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEODIVINI TORRES
  • NPI Number: 1609360577
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2149782
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DCI JACKSONVILLE MID-TOWN
Street 757 WEST UNION STREET
City JACKSONVILLE
State FL
ZIP 32202
Phone 904 539-4963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LEODIVINI TORRES

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