10D2255494 CLIA NUMBER - PHYSICIANS GROUP SERVICES, PA

Laboratory Demographics

  • CLIA Code: 10D2255494
  • Facility Name: PHYSICIANS GROUP SERVICES, PA
  • Facility Address: 7620 TIMBERLIN PARK BLVD
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: (904) 519-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. POWELL
  • NPI Number: 1144568262
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2255494
LAB Type Physician Office
Facility Name PHYSICIANS GROUP SERVICES, PA
Street 7620 TIMBERLIN PARK BLVD
City JACKSONVILLE
State FL
ZIP 32256
Phone 9045199300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2026
Certificate Expiration Date 3/14/2028
Facility Type Physician Office
Lab Director KENNETH A. POWELL

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This page was last updated on: 5/18/2026