10D2160877 CLIA NUMBER - DIGESTIVE DISEASE CONSULTANTS LLC

Laboratory Demographics

  • CLIA Code: 10D2160877
  • Facility Name: DIGESTIVE DISEASE CONSULTANTS LLC
  • Facility Address: 870 KINGSLEY AVENUE
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 406-0633
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MARIO BLANCO
  • NPI Number: 1922013754
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2160877
LAB Type Physician Office
Facility Name DIGESTIVE DISEASE CONSULTANTS LLC
Street 870 KINGSLEY AVENUE
City ORANGE PARK
State FL
ZIP 32073
Phone 904 406-0633
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director DR. MARIO BLANCO

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