DOH BUREAU OF LABS-CENTRAL LAB JACKSONVILLE
NPI 1174558431
Clinical Medical Laboratory in Jacksonville, FL
NPI Status: Active since July 12, 2006
Contact Information
1217 PEARL ST
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 791-1690
Fax: (904) 791-1626
- Organization
- Clinical Medical Laboratory
- Accepts Insurance
- CLIA Number: 10D0645095
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 03-06-2027
About DOH BUREAU OF LABS-CENTRAL LAB JACKSONVILLE
This page provides the complete NPI Profile along with additional information for Doh Bureau Of Labs-central Lab Jacksonville, a provider established in Jacksonville, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1174558431 assigned on July 2006. The practitioner's primary taxonomy code is 291U00000X with license number 800000296 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Doh Bureau Of Labs-central Lab Jacksonville. The authorized official of this NPI record is Mrs. Aurora Grospe (Accountant I - Billing Manager)
- NPI
- 1174558431
- Provider Legal Name
- FLORIDA DEPARTMENT OF HEALTH
- Other Organization Name
- DOH BUREAU OF LABS-CENTRAL LAB JACKSONVILLE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1217 PEARL ST JACKSONVILLE, FL 32202
- Location Phone
- (904) 791-1690
- Location Fax
- (904) 791-1626
- Mailing Address
- 1217 N PEARL ST P.O. BOX 210 JACKSONVILLE, FL 32202
- Mailing Phone
- (904) 791-1690
- Mailing Fax
- (904) 791-1626
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 03-25-2015
- Code Navigator
Establishments like Doh Bureau Of Labs-central Lab Jacksonville are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License No.
- 800000296
- License State
- FL
- Taxonomy Description
- (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
- BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-05 (Rewards) - POS
- BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-18 (Rewards) - POS
- BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
- BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 030280500 | MEDICAID (05) | FL | |
| AJ103 | MEDICARE PIN (08) | FL | |
| AJ103 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Bacterial culture for aerobic isolates
Concentration of specimen for infectious agents
Culture for acid-fast bacilli
Detection test by immunoassay technique for hepatitis b surface antigen
Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique
Detection test by nucleic acid for hiv-1 virus, quantification
Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique
Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique
Detection test by nucleic acid for organism, direct probe technique
Hepatitis b core antibody measurement
Hepatitis b surface antibody measurement
Hepatitis c antibody measurement
Identification of mycobacteria (tb or tb like organism)
Measurement of hepatitis a antibody
Special fluorescent and/or acid fast stain for microorganism
Syphilis detection test
Syphilis test
A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.
This service was performed 88 times for 33 patientsConcentration of specimen for infectious agents is a lab procedure that helps detect the presence of harmful microbes in a sample. It involves enhancing the number of these agents to a detectable level. This aids in diagnosing diseases, ensuring accurate and timely treatment.
This service was performed 81 times for 31 patientsA culture for acid-fast bacilli is a lab test that checks for bacteria that are hard to stain and resistant to acid. These bacteria, including the one that causes tuberculosis, can be identified through this culture. It involves collecting a sample, often sputum, which is then processed in a lab.
This service was performed 83 times for 27 patientsThis test helps identify the presence of hepatitis B in your body. It uses an immunoassay technique, which is a highly sensitive method that detects the hepatitis B surface antigen, a protein on the virus. This test can help diagnose an active infection or determine if you're a carrier.
This service was performed 59 times for 56 patientsA detection test by nucleic acid for chlamydia trachomatis, amplified probe technique, is a test that identifies the presence of a specific bacteria in the body. This bacteria can cause various health issues. The technique amplifies the sample to improve accuracy.
This service was performed 63 times for 60 patientsThis test identifies and measures the amount of HIV-1 virus in your body. It uses a technique called nucleic acid testing to find the virus's genetic material. This information helps monitor your health and manage treatment effectively.
This service was performed 15 times for 11 patientsA detection test by nucleic acid for Mycobacteria Tuberculosis, using an amplified probe technique, is a diagnostic test for TB. It identifies the TB bacteria's genetic material in your body. It's fast, highly accurate, and can confirm TB presence even in small samples.
This service was performed 22 times for 19 patientsThis is a lab test that checks for the presence of a specific bacteria called Neisseria gonorrhoeae in your body. It uses a technique called amplified probe, which makes many copies of the bacteria's genetic material (nucleic acid) to help detect it more easily.
This service was performed 63 times for 60 patientsA detection test by nucleic acid for an organism using a direct probe technique is a type of diagnostic test. It identifies specific genetic material of an organism, usually a virus or bacteria, in a sample. This helps in diagnosing diseases accurately and quickly.
This service was performed 30 times for 17 patientsHepatitis B core antibody measurement is a test conducted to determine if you have been infected with the Hepatitis B virus in the past. It involves taking a blood sample and analyzing it in a lab. This test aids in diagnosing and managing Hepatitis B infections.
This service was performed 59 times for 56 patientsHepatitis B surface antibody measurement is a blood test done to check if your body has developed immunity against the Hepatitis B virus. It's typically done after vaccination or to confirm recovery from a past infection. It's a simple, safe procedure.
This service was performed 61 times for 58 patientsHepatitis C antibody measurement is a blood test to check if you have been exposed to the Hepatitis C virus. This virus affects your liver. If the test is positive, it means you have had the virus at some point. Additional tests are needed to determine if the virus is currently active.
This service was performed 61 times for 58 patientsIdentification of mycobacteria is a lab test that detects the bacteria causing TB or similar diseases. It involves collecting a sample, usually sputum, and testing it in a lab. This helps in diagnosing and treating your condition effectively.
This service was performed 91 times for 34 patientsThe measurement of Hepatitis A antibody is a simple blood test. It helps determine if you have had a past infection or vaccination against Hepatitis A, a viral liver disease. The test can provide valuable information for your healthcare management.
This service was performed 59 times for 56 patientsA special fluorescent or acid-fast stain for microorganisms is a lab procedure to identify specific bacteria in a sample. This technique uses special dyes that cause bacteria to glow under a microscope or resist decolorization, aiding in their detection.
This service was performed 80 times for 31 patientsA Syphilis detection test is a simple blood test that helps identify if a person has been exposed to the bacteria causing Syphilis. This bacteria can cause various health issues if not treated. The test is important for maintaining overall health and well-being.
This service was performed 159 times for 152 patientsA syphilis test is a simple blood test done to check for a specific bacteria in your body. This bacteria, if present, could lead to serious health issues if not treated. The test helps ensure you are healthy and can prevent potential complications.
This service was performed 13 times for 13 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0645095
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- March 07, 2025
- Certificate Expiration Date
- March 06, 2027
- Laboratory Director
- MARIE CLAIRE ROWLINSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Doh Bureau Of Labs-central Lab Jacksonville after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174558431, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
JACKSONVILLE, FL 32202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174558431, enumerated as an "organization" on July 12, 2006.
The provider is located at 1217 PEARL ST JACKSONVILLE, FL 32202 and the phone number is (904) 791-1690.
Clinical Medical Laboratory with taxonomy code 291U00000X.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.
