10D2177753 CLIA NUMBER - FLORIDA PHYSICIAN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D2177753
  • Facility Name: FLORIDA PHYSICIAN SPECIALISTS
  • Facility Address: 7017 A C SKINNER PARKWAY
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 520-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL D. TERK
  • NPI Number: 1033544390
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2177753
LAB Type Physician Office
Facility Name FLORIDA PHYSICIAN SPECIALISTS
Street 7017 A C SKINNER PARKWAY
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 520-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director MITCHELL D. TERK

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