10D2192155 CLIA NUMBER - INTEGRITY SPINE AND ORTHOPEDICS LLC

Laboratory Demographics

  • CLIA Code: 10D2192155
  • Facility Name: INTEGRITY SPINE AND ORTHOPEDICS LLC
  • Facility Address: 14785 OLD ST AUGUSTINE RD STE 100
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 456-0017
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH GRAHAM
  • NPI Number: 1801457296
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2192155
LAB Type Physician Office
Facility Name INTEGRITY SPINE AND ORTHOPEDICS LLC
Street 14785 OLD ST AUGUSTINE RD STE 100
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 456-0017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director JOSEPH GRAHAM

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