10D0269044 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

CLIA Code: 10D0269044
Facility Name: BAPTIST PRIMARY CARE INC
Facility Address: 5491 DOLPHIN POINT BOULEVARD SUITE 3110
JACKSONVILLE, FL
ZIP 32211
Facility Phone: 904 744-5244
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: FARA NADAL
NPI Number: 1538340583
Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name	Field Value
CLIA Number	10D0269044
LAB Type	Physician Office
Facility Name	BAPTIST PRIMARY CARE INC
Street	5491 DOLPHIN POINT BOULEVARD SUITE 3110
City	JACKSONVILLE
State	FL
ZIP	32211
Phone	904 744-5244
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	3/21/2024
Certificate Expiration Date	3/20/2026
Facility Type	Physician Office
Lab Director	FARA NADAL

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