10D0269422 CLIA NUMBER - BAPTIST PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 10D0269422
  • Facility Name: BAPTIST PRIMARY CARE, INC
  • Facility Address: 3945 SAN JOSE PARK DR
    JACKSONVILLE, FL
    ZIP 32217
  • Facility Phone: 904 731-3530
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ERICA TARBOX
  • NPI Number: 1558935866
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0269422
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE, INC
Street 3945 SAN JOSE PARK DR
City JACKSONVILLE
State FL
ZIP 32217
Phone 904 731-3530
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director ERICA TARBOX

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