10D2292757 CLIA NUMBER - JRA HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2292757
  • Facility Name: JRA HEALTH LLC
  • Facility Address: 6925 SE US HIGHWAY 301
    HAWTHORNE, FL
    ZIP 32640
  • Facility Phone: 352 443-1684
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN R. AWAD
  • NPI Number: 1346974847
  • Taxonomy: 3336H0001X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2292757
LAB Type Pharmacy
Facility Name JRA HEALTH LLC
Street 6925 SE US HIGHWAY 301
City HAWTHORNE
State FL
ZIP 32640
Phone 352 443-1684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director JOHN R. AWAD

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