CLIA lab
CLIA 10D2286789: 904 Health, Inc
Jacksonville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2286789 belongs to 904 Health, Inc in Jacksonville, FL.
Certificate of Waiver, effective August 3, 2025, expires August 2, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 3, 2025
- Certificate expiration
- August 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 2023
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2286789
- Lab name
- 904 Health, Inc
- Address
- 4427 Emerson St., Building #3A, Jacksonville, FL 32207
- Phone
- (904) 659-2475
- Fax
- (904) 453-8600
Annual test volume the lab reported
- Waived tests
- 520
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jacksonville, FL
- 904 Health IncCertificate of Waiver, Community clinic10D2323446
- A Caring Hand LLCCertificate of Waiver, Home health agency10D2005070
- A Home Away From Home LLCCertificate of Waiver, Mobile lab10D2251474
- A Womans Choice of JacksonvilleCertificate of Waiver, Other10D0936920
- Able Access Home Health, LLCCertificate of Waiver, Home health agency10D2297763
- Absolute Care Home Health ServicesCertificate of Waiver, Home health agency10D2009594
- Access Home HealthCertificate of Waiver, Home health agency10D2099653
- Accessible Home Health Care of JacksonvilleCertificate of Waiver, Home health agency10D2348417
- Accessrehab LLCCertificate of Waiver, Home health agency10D1106715
- Accmed Health Care SystemsCertificate of Waiver, Physician office10D2010447
Related
Questions
What is the CLIA number for 904 Health, Inc in Jacksonville?
10D2286789, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 904 Health, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2286789 expire?
The CMS file lists August 2, 2027 as the certificate expiration date; the certificate took effect August 3, 2025.