10D2226622 CLIA NUMBER - EENCORE, LLC

Laboratory Demographics

  • CLIA Code: 10D2226622
  • Facility Name: EENCORE, LLC
  • Facility Address: 1734 KINGSLEY AVE #6
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 521-0493
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: APRIL GIBSON
  • NPI Number: 1770256919
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2226622
LAB Type Mobile Laboratory
Facility Name EENCORE, LLC
Street 1734 KINGSLEY AVE #6
City ORANGE PARK
State FL
ZIP 32073
Phone 904 521-0493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Mobile Laboratory
Lab Director APRIL GIBSON

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