10D2228718 CLIA NUMBER - CAPSTONE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2228718
  • Facility Name: CAPSTONE PRIMARY CARE
  • Facility Address: 2950 HALCYON LANE STE 302
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 503-7385
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE R. GARCIA
  • NPI Number: 1952992794
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2228718
LAB Type Physician Office
Facility Name CAPSTONE PRIMARY CARE
Street 2950 HALCYON LANE STE 302
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 503-7385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director JOSE R. GARCIA

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