10D2241304 CLIA NUMBER - EAST COAST INJURY CLINIC

Laboratory Demographics

  • CLIA Code: 10D2241304
  • Facility Name: EAST COAST INJURY CLINIC
  • Facility Address: 9889 GATE PKWY N STE 305
    JACKSONVILLE, FL
    ZIP 32246
  • Facility Phone: 904 885-1876
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY MCNAMARA
  • NPI Number: 1124424643
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2241304
LAB Type Physician Office
Facility Name EAST COAST INJURY CLINIC
Street 9889 GATE PKWY N STE 305
City JACKSONVILLE
State FL
ZIP 32246
Phone 904 885-1876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director GREGORY MCNAMARA

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