10D2158691 CLIA NUMBER - MT MEDICAL FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2158691
  • Facility Name: MT MEDICAL FLORIDA LLC
  • Facility Address: 6820 SOUTHPOINT PKWY STE 3
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 843 276-1291
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ERIC S. BRITTAIN
  • NPI Number: 1124594619
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 10D2158691
LAB Type Ambulance
Facility Name MT MEDICAL FLORIDA LLC
Street 6820 SOUTHPOINT PKWY STE 3
City JACKSONVILLE
State FL
ZIP 32216
Phone 843 276-1291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Ambulance
Lab Director ERIC S. BRITTAIN

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