10D2316893 CLIA NUMBER - GRAHAM'S PROMISE DBA BRIGHTSTAR CARE OF PONTE VEDRA & W JACKSONVILLE

Laboratory Demographics

  • CLIA Code: 10D2316893
  • Facility Name: GRAHAM'S PROMISE DBA BRIGHTSTAR CARE OF PONTE VEDRA & W JACKSONVILLE
  • Facility Address: 7563 PHILLIPS HWY, BLDG 300 SUITE 304
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 709-4446
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMY D. WALKER
  • NPI Number: 1356166847
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2316893
LAB Type Home Health Agency
Facility Name GRAHAM'S PROMISE DBA BRIGHTSTAR CARE OF PONTE VEDRA & W JACKSONVILLE
Street 7563 PHILLIPS HWY, BLDG 300 SUITE 304
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 709-4446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Home Health Agency
Lab Director AMY D. WALKER

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