10D2312846 CLIA NUMBER - PHYSICIANS GROUP SERVICES PA DBA NEXSTEP INTEGRATED CARE

Laboratory Demographics

  • CLIA Code: 10D2312846
  • Facility Name: PHYSICIANS GROUP SERVICES PA DBA NEXSTEP INTEGRATED CARE
  • Facility Address: 1811 BLANDING BLVD STE 102
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 904 321-8605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. POWELL
  • NPI Number: 1053981506
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2312846
LAB Type Physician Office
Facility Name PHYSICIANS GROUP SERVICES PA DBA NEXSTEP INTEGRATED CARE
Street 1811 BLANDING BLVD STE 102
City MIDDLEBURG
State FL
ZIP 32068
Phone 904 321-8605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director KENNETH A. POWELL

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This page was last updated on: 6/4/2025