10D2183135 CLIA NUMBER - INFUSION CENTER OF JACKSONVILLE LLC

Laboratory Demographics

  • CLIA Code: 10D2183135
  • Facility Name: INFUSION CENTER OF JACKSONVILLE LLC
  • Facility Address: 11512 LAKE MEAD AVE - STE 302-303
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 456-8734
  • Facility Type: Other - MEDICAL OFF/INFUSION CTR
  • Facility Type: Waiver
  • Lab Director: JOHN PANOS
  • NPI Number: 1336606383
  • Taxonomy: 261QI0500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2183135
LAB Type Other - MEDICAL OFF/INFUSION CTR
Facility Name INFUSION CENTER OF JACKSONVILLE LLC
Street 11512 LAKE MEAD AVE - STE 302-303
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 456-8734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other - MEDICAL OFF/INFUSION CTR
Lab Director JOHN PANOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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