10D2325967 CLIA NUMBER - JAX HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 10D2325967
  • Facility Name: JAX HEALTHCARE LLC
  • Facility Address: 11512 LAKE MEAD AVE, UNIT 703
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 786 985-5448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOANNA PEREZ PILOTO
  • NPI Number: 1174356554
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2325967
LAB Type Physician Office
Facility Name JAX HEALTHCARE LLC
Street 11512 LAKE MEAD AVE, UNIT 703
City JACKSONVILLE
State FL
ZIP 32256
Phone 786 985-5448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director YOANNA PEREZ PILOTO

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