10D2304991 CLIA NUMBER - SUMMIT BHC JACKSONVILLE LLC DBA WILLINGWAY

Laboratory Demographics

  • CLIA Code: 10D2304991
  • Facility Name: SUMMIT BHC JACKSONVILLE LLC DBA WILLINGWAY
  • Facility Address: 4100 SOUTHPOINT DR E #41001
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: (844) 259-4911
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: MYLENE H. SUTTON
  • NPI Number: 1235992900
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2304991
LAB Type Other - OUTPATIENT CLINIC
Facility Name SUMMIT BHC JACKSONVILLE LLC DBA WILLINGWAY
Street 4100 SOUTHPOINT DR E #41001
City JACKSONVILLE
State FL
ZIP 32216
Phone 8442594911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2026
Certificate Expiration Date 5/21/2028
Facility Type Other - OUTPATIENT CLINIC
Lab Director MYLENE H. SUTTON

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This page was last updated on: 5/18/2026