10D2169851 CLIA NUMBER - MAYO CLINIC JACKSONVILLE MEDICAL TRANSPORT

Laboratory Demographics

  • CLIA Code: 10D2169851
  • Facility Name: MAYO CLINIC JACKSONVILLE MEDICAL TRANSPORT
  • Facility Address: 4500 SAN PABLO ROAD ATTN RHONDA GRANT
    JACKSONVILLE, FL
    ZIP 32224
  • Facility Phone: 904 953-2257
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GRETCHEN JOHNS
  • NPI Number: 1174143986
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2169851
LAB Type Ambulance
Facility Name MAYO CLINIC JACKSONVILLE MEDICAL TRANSPORT
Street 4500 SAN PABLO ROAD ATTN RHONDA GRANT
City JACKSONVILLE
State FL
ZIP 32224
Phone 904 953-2257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Ambulance
Lab Director GRETCHEN JOHNS

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