10D2232759 CLIA NUMBER - SOPHROS RECOVERY

Laboratory Demographics

  • CLIA Code: 10D2232759
  • Facility Name: SOPHROS RECOVERY
  • Facility Address: 2511 ST JOHNS BLUFF RD #106
    JACKSONVILLE, FL
    ZIP 32246
  • Facility Phone: 904 595-1991
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLAS W. PADLO
  • NPI Number: 1750962445
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2232759
LAB Type Comp. Outpatient Rehab Facility
Facility Name SOPHROS RECOVERY
Street 2511 ST JOHNS BLUFF RD #106
City JACKSONVILLE
State FL
ZIP 32246
Phone 904 595-1991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director NICHOLAS W. PADLO

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