10D2305657 CLIA NUMBER - DR SALAS WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2305657
  • Facility Name: DR SALAS WELLNESS CENTER LLC
  • Facility Address: 13241 BARTRAM PARK BLVD UNIT 809
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 723-4827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE SALAS
  • NPI Number: 1548001662
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2305657
LAB Type Physician Office
Facility Name DR SALAS WELLNESS CENTER LLC
Street 13241 BARTRAM PARK BLVD UNIT 809
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 723-4827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director STEPHANIE SALAS

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