10D2189025 CLIA NUMBER - SPRING PARK PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2189025
  • Facility Name: SPRING PARK PHARMACY LLC
  • Facility Address: 3851 EMERSON ST - STE 13
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 561-5094
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY D. CHAO
  • NPI Number: 1902311046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2189025
LAB Type Pharmacy
Facility Name SPRING PARK PHARMACY LLC
Street 3851 EMERSON ST - STE 13
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 561-5094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Pharmacy
Lab Director STACY D. CHAO

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