10D2318116 CLIA NUMBER - DESIGN RECORVERY LLC

Laboratory Demographics

  • CLIA Code: 10D2318116
  • Facility Name: DESIGN RECORVERY LLC
  • Facility Address: 3000 3RD ST SOUTH
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Facility Phone: 904 600-1662
  • Facility Type: Other - SUBSTANCE ABUSE TX PHP/IO
  • Facility Type: Waiver
  • Lab Director: ROBERT D. MARESH
  • NPI Number: 1356170518
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2318116
LAB Type Other - SUBSTANCE ABUSE TX PHP/IO
Facility Name DESIGN RECORVERY LLC
Street 3000 3RD ST SOUTH
City JACKSONVILLE BEACH
State FL
ZIP 32250
Phone 904 600-1662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Other - SUBSTANCE ABUSE TX PHP/IO
Lab Director ROBERT D. MARESH

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