10D2266672 CLIA NUMBER - PATIENT FOCUS PHYSICIANS ASSOCIATES INC

Laboratory Demographics

CLIA Number: 10D2266672

Facility Name: PATIENT FOCUS PHYSICIANS ASSOCIATES INC

Facility Address:
101 CENTURY 21 DR #206
JACKSONVILLE, FL
ZIP 32216
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Facility Phone Number: 904 374-0594

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1801407291

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2266672
LAB Type	Mobile Laboratory
Facility Name	PATIENT FOCUS PHYSICIANS ASSOCIATES INC
Street	101 CENTURY 21 DR #206
City	JACKSONVILLE
State	FL
ZIP	32216
Phone	904 374-0594
CertificateType	4
CertificateEffectiveDate	8/15/2022
CertificateExpirationDate	8/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024