10D2249182 CLIA NUMBER - JACE LABORATORIES AND SCREENING LLC

Laboratory Demographics

  • CLIA Code: 10D2249182
  • Facility Name: JACE LABORATORIES AND SCREENING LLC
  • Facility Address: 9951 ATLANTIC BLVD STE 322
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 833 434-5223
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: IMA L. WALLACE
  • NPI Number: 1225703648
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2249182
LAB Type Mobile Laboratory
Facility Name JACE LABORATORIES AND SCREENING LLC
Street 9951 ATLANTIC BLVD STE 322
City JACKSONVILLE
State FL
ZIP 32225
Phone 833 434-5223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Mobile Laboratory
Lab Director IMA L. WALLACE

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