10D2261102 CLIA NUMBER - NYWES PHLEBOTOMY & HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 10D2261102
  • Facility Name: NYWES PHLEBOTOMY & HEALTH SERVICES, LLC
  • Facility Address: 1532 KINGSLEY AVE ST# 108
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: (904) 621-5114
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: NIKKI WALKER
  • NPI Number: 1578201703
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2261102
LAB Type Mobile Laboratory
Facility Name NYWES PHLEBOTOMY & HEALTH SERVICES, LLC
Street 1532 KINGSLEY AVE ST# 108
City ORANGE PARK
State FL
ZIP 32073
Phone 9046215114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Mobile Laboratory
Lab Director NIKKI WALKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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