10D2321743 CLIA NUMBER - ELITE MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2321743
  • Facility Name: ELITE MEDICINE LLC
  • Facility Address: 13241 BARTRAM PARK BLVD, SUITE 713
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 770-9581
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XAVIER BLANCO CRIADO MD
  • NPI Number: 1083420228
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2321743
LAB Type Physician Office
Facility Name ELITE MEDICINE LLC
Street 13241 BARTRAM PARK BLVD, SUITE 713
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 770-9581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director XAVIER BLANCO CRIADO MD

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