10D2239340 CLIA NUMBER - ST JOHNS INTEGRATED HEALTH

Laboratory Demographics

  • CLIA Code: 10D2239340
  • Facility Name: ST JOHNS INTEGRATED HEALTH
  • Facility Address: 11363 SAN JOSE BLVD STE 102B
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 288-8993
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM FOLAND
  • NPI Number: 1033736574
  • Taxonomy: 2081N0008X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2239340
LAB Type Physician Office
Facility Name ST JOHNS INTEGRATED HEALTH
Street 11363 SAN JOSE BLVD STE 102B
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 288-8993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Physician Office
Lab Director WILLIAM FOLAND

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