10D0269244 CLIA NUMBER - DRS BAKER AND GILMOUR MD PA

Laboratory Demographics

  • CLIA Code: 10D0269244
  • Facility Name: DRS BAKER AND GILMOUR MD PA
  • Facility Address: 3550 UNIVERSITY BLVD S STE 302
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 733-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TREVOR O. GREENE
  • NPI Number: 1023005501
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0269244
LAB Type Physician Office
Facility Name DRS BAKER AND GILMOUR MD PA
Street 3550 UNIVERSITY BLVD S STE 302
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 733-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director TREVOR O. GREENE

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