10D2324649 CLIA NUMBER - AVECINA MEDICAL PA

Laboratory Demographics

  • CLIA Code: 10D2324649
  • Facility Name: AVECINA MEDICAL PA
  • Facility Address: 96031 VICTORIAS PLACE, UNIT 111
    YULEE, FL
    ZIP 32097
  • Facility Phone: 904 230-6988
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Waiver
  • Lab Director: DMITIRY MODEL
  • NPI Number: 1063801934
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2324649
LAB Type Other - URGENT CARE CENTER
Facility Name AVECINA MEDICAL PA
Street 96031 VICTORIAS PLACE, UNIT 111
City YULEE
State FL
ZIP 32097
Phone 904 230-6988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Other - URGENT CARE CENTER
Lab Director DMITIRY MODEL

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