10D2314420 CLIA NUMBER - FLORIDA PHYSICIAN SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 10D2314420
  • Facility Name: FLORIDA PHYSICIAN SPECIALISTS LLC
  • Facility Address: 1860 TOWN HALL CIR
    FLEMING ISLAND, FL
    ZIP 32003
  • Facility Phone: 904 355-6083
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MOORE
  • NPI Number: 1932680469
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2314420
LAB Type Physician Office
Facility Name FLORIDA PHYSICIAN SPECIALISTS LLC
Street 1860 TOWN HALL CIR
City FLEMING ISLAND
State FL
ZIP 32003
Phone 904 355-6083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director CHRISTOPHER MOORE

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