10D2255974 CLIA NUMBER - PARKSIDE CLINIC, LLC DBA MEDMARK TREATMENT CENTERS JACKSONVILLE

Laboratory Demographics

  • CLIA Code: 10D2255974
  • Facility Name: PARKSIDE CLINIC, LLC DBA MEDMARK TREATMENT CENTERS JACKSONVILLE
  • Facility Address: 5600 SPRING PARK ROAD, SUITE 101
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: (904) 737-5000
  • Facility Type: Other - NARCOTIC TX PROGRAM
  • Facility Type: Waiver
  • Lab Director: ZEHRA CUMBER
  • NPI Number: 1326434390
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2255974
LAB Type Other - NARCOTIC TX PROGRAM
Facility Name PARKSIDE CLINIC, LLC DBA MEDMARK TREATMENT CENTERS JACKSONVILLE
Street 5600 SPRING PARK ROAD, SUITE 101
City JACKSONVILLE
State FL
ZIP 32216
Phone 9047375000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2026
Certificate Expiration Date 3/17/2028
Facility Type Other - NARCOTIC TX PROGRAM
Lab Director ZEHRA CUMBER

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