10D2235150 CLIA NUMBER - RIVERCITY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2235150
  • Facility Name: RIVERCITY SURGERY CENTER
  • Facility Address: 4796 HODGES BLVD STE 105-108
    JACKSONVILLE, FL
    ZIP 32224
  • Facility Phone: 904 953-9053
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. CARTWRIGHT
  • NPI Number: 1184153819
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2235150
LAB Type Ambulatory Surgery Center
Facility Name RIVERCITY SURGERY CENTER
Street 4796 HODGES BLVD STE 105-108
City JACKSONVILLE
State FL
ZIP 32224
Phone 904 953-9053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH A. CARTWRIGHT

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