10D2321856 CLIA NUMBER - B-LEEVE PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D2321856
  • Facility Name: B-LEEVE PRIMARY CARE INC
  • Facility Address: 9570 REGENCY SQUARE BLVD, STE 403D
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 904 474-9766
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: QUAWENDELLA B. SKINNER
  • NPI Number: 1033971064
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2321856
LAB Type Health Fair
Facility Name B-LEEVE PRIMARY CARE INC
Street 9570 REGENCY SQUARE BLVD, STE 403D
City JACKSONVILLE
State FL
ZIP 32225
Phone 904 474-9766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Health Fair
Lab Director QUAWENDELLA B. SKINNER

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