10D2239779 CLIA NUMBER - VELOCITY LAB SERVICES LLC

Laboratory Demographics

CLIA Number: 10D2239779

Facility Name: VELOCITY LAB SERVICES LLC

Facility Address:
7925 MERRILL RD #1509
JACKSONVILLE, FL
ZIP 32277
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Facility Phone Number: 904 947-0766

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1609546837

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2239779
LAB Type	Mobile Laboratory
Facility Name	VELOCITY LAB SERVICES LLC
Street	7925 MERRILL RD #1509
City	JACKSONVILLE
State	FL
ZIP	32277
Phone	904 947-0766
CertificateType	4
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024