Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D1099045
|
|
Clinical laboratory number
|
|
Lab Name
|
SOUTHSIDE DERMATOLOGY PA
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Compliance
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
904-880-0622
|
|
Laboratory telephone number
|
|
Fax
|
855-975-0615
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4727 SUNBEAM ROAD SUITE 102
|
|
Primary location adress line
|
|
City
|
JACKSONVILLE
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
32257
|
|
Primary location postal code
|