10D2310308 CLIA NUMBER - EDWARD ORSHANSKY MD INC

Laboratory Demographics

  • CLIA Code: 10D2310308
  • Facility Name: EDWARD ORSHANSKY MD INC
  • Facility Address: 12412 SAN JOSE BLVD STE 404
    JACKSONVILLE, FL
    ZIP 32223
  • Facility Phone: 904 646-8788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD ORSHANSKY
  • NPI Number: 1497517155
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2310308
LAB Type Physician Office
Facility Name EDWARD ORSHANSKY MD INC
Street 12412 SAN JOSE BLVD STE 404
City JACKSONVILLE
State FL
ZIP 32223
Phone 904 646-8788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director EDWARD ORSHANSKY

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