10D2274560 CLIA NUMBER - UF HEALTH DOROTHY MANGURIAN NEUROIMAGING SUITE

Laboratory Demographics

  • CLIA Code: 10D2274560
  • Facility Name: UF HEALTH DOROTHY MANGURIAN NEUROIMAGING SUITE
  • Facility Address: 3011 SW WILLISTON RD
    GAINESVILLE, FL
    ZIP 32608
  • Facility Phone: 352 594-8704
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA WONG
  • NPI Number: 1255730511
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2274560
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UF HEALTH DOROTHY MANGURIAN NEUROIMAGING SUITE
Street 3011 SW WILLISTON RD
City GAINESVILLE
State FL
ZIP 32608
Phone 352 594-8704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOSHUA WONG

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