Mayo Clinic Independent Laboratory – Clinical Medical Laboratory, NPI 1285621631
Clinical Medical Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Mayo Clinic Independent Laboratory
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone: (904) 953-7355
Fax: (904) 953-1768
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090715000496 | O | Independent Clinical Laboratory | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 56,702 | 20,227 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 47,907 | 17,211 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 22,535 | 11,613 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 19,407 | 12,294 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 17,474 | 11,608 | $0 |
Insurance plans in this area (ZIP 32224)
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