10D2285980 CLIA NUMBER - ACKERMAN CANCER CENTER, PA

Laboratory Demographics

  • CLIA Code: 10D2285980
  • Facility Name: ACKERMAN CANCER CENTER, PA
  • Facility Address: 13155 ATLANTIC BLVD - EXAM ROOM 6 & 7
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 904 490-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOT N. ACKERMAN
  • NPI Number: 1265111629
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2285980
LAB Type Physician Office
Facility Name ACKERMAN CANCER CENTER, PA
Street 13155 ATLANTIC BLVD - EXAM ROOM 6 & 7
City JACKSONVILLE
State FL
ZIP 32225
Phone 904 490-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director SCOT N. ACKERMAN

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