10D2263685 CLIA NUMBER - CAREMAX CLINIC 711 LLC

Laboratory Demographics

  • CLIA Code: 10D2263685
  • Facility Name: CAREMAX CLINIC 711 LLC
  • Facility Address: 2732 TROLLIE LANE
    JACKSONVILLE, FL
    ZIP 32211
  • Facility Phone: 904 289-1254
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LATARA TAYLOR
  • NPI Number: 1609359249
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2263685
LAB Type Community Clinic
Facility Name CAREMAX CLINIC 711 LLC
Street 2732 TROLLIE LANE
City JACKSONVILLE
State FL
ZIP 32211
Phone 904 289-1254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Community Clinic
Lab Director LATARA TAYLOR

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