10D2313375 CLIA NUMBER - BEYOND VENACARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2313375
  • Facility Name: BEYOND VENACARE SERVICES LLC
  • Facility Address: 405 SOUTH SUMMIT STREET STE A
    CRESCENT CITY, FL
    ZIP 32112
  • Facility Phone: 386 559-4086
  • Facility Type: Other - INDEPENDENT MOBILE/BRICK
  • Facility Type: Waiver
  • Lab Director: SYLVIA JAIMES
  • NPI Number: 1689474553
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2313375
LAB Type Other - INDEPENDENT MOBILE/BRICK
Facility Name BEYOND VENACARE SERVICES LLC
Street 405 SOUTH SUMMIT STREET STE A
City CRESCENT CITY
State FL
ZIP 32112
Phone 386 559-4086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Other - INDEPENDENT MOBILE/BRICK
Lab Director SYLVIA JAIMES

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