10D0269339 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D0269339
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 3101 UNIVERSITY BLVD SOUTH SUITE 102
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 737-1171
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH MAYER
  • NPI Number: 1194906032
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0269339
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 3101 UNIVERSITY BLVD SOUTH SUITE 102
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 737-1171
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 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director KENNETH MAYER

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