10D2290627 CLIA NUMBER - GUIDEWELL-SANITAS I, LLC DBA SANITAS

Laboratory Demographics

  • CLIA Code: 10D2290627
  • Facility Name: GUIDEWELL-SANITAS I, LLC DBA SANITAS
  • Facility Address: 9400 ATLANTIV BLVD SUITE 11
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 305 470-2929
  • Facility Type: Other - HEALTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: JEAN LUCKSLEY
  • NPI Number: 1548748478
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2290627
LAB Type Other - HEALTH CARE CLINIC
Facility Name GUIDEWELL-SANITAS I, LLC DBA SANITAS
Street 9400 ATLANTIV BLVD SUITE 11
City JACKSONVILLE
State FL
ZIP 32225
Phone 305 470-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Other - HEALTH CARE CLINIC
Lab Director JEAN LUCKSLEY

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