10D2252787 CLIA NUMBER - FIRST COAST COMMUNITY DEVELOPMENT INC

Laboratory Demographics

  • CLIA Code: 10D2252787
  • Facility Name: FIRST COAST COMMUNITY DEVELOPMENT INC
  • Facility Address: 720 NORTH OCEAN ST
    JACKSONVILLE, FL
    ZIP 32202
  • Facility Phone: 904 866-7483
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. LAMKIN
  • NPI Number: 1710648316
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2252787
LAB Type Mobile Laboratory
Facility Name FIRST COAST COMMUNITY DEVELOPMENT INC
Street 720 NORTH OCEAN ST
City JACKSONVILLE
State FL
ZIP 32202
Phone 904 866-7483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Mobile Laboratory
Lab Director MICHAEL R. LAMKIN

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