10D2301978 CLIA NUMBER - JILLIAN RUSSELL APRN LLC

Laboratory Demographics

  • CLIA Code: 10D2301978
  • Facility Name: JILLIAN RUSSELL APRN LLC
  • Facility Address: 5913 NE 67TH ST
    SILVER SPRINGS, FL
    ZIP 34488
  • Facility Phone: 352 537-5865
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILLIAN RUSSELL
  • NPI Number: 1760176341
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2301978
LAB Type Practitioner Other
Facility Name JILLIAN RUSSELL APRN LLC
Street 5913 NE 67TH ST
City SILVER SPRINGS
State FL
ZIP 34488
Phone 352 537-5865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Practitioner Other
Lab Director JILLIAN RUSSELL

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