10D2327738 CLIA NUMBER - NOLA CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2327738
  • Facility Name: NOLA CARE LLC
  • Facility Address: 13241 BARTRAM PARK BLVD UNIT 505
    JACKSONVILLE, FL
    ZIP 32258
  • Facility Phone: 904 701-3610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEY F. ROUSSELL
  • NPI Number: 1083477814
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2327738
LAB Type Physician Office
Facility Name NOLA CARE LLC
Street 13241 BARTRAM PARK BLVD UNIT 505
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 701-3610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director ASHLEY F. ROUSSELL

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