10D2291120 CLIA NUMBER - MOTHERSHIP LOVE LLC

Laboratory Demographics

  • CLIA Code: 10D2291120
  • Facility Name: MOTHERSHIP LOVE LLC
  • Facility Address: 7744 BARRY DRIVE EAST
    JACKSONVILLE, FL
    ZIP 32208
  • Facility Phone: 833 572-6325
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MONICA RANDALL
  • NPI Number: 1811573678
  • Taxonomy: 372600000X - Adult Companion

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CLIA Record

Field Name Field Value
CLIA Number 10D2291120
LAB Type Mobile Laboratory
Facility Name MOTHERSHIP LOVE LLC
Street 7744 BARRY DRIVE EAST
City JACKSONVILLE
State FL
ZIP 32208
Phone 833 572-6325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Mobile Laboratory
Lab Director MONICA RANDALL

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