10D0269780 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D0269780
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 10601 SAN JOSE BLVD SUITE 1404
    JACKSONVILLE, FL
    ZIP 32257
  • Facility Phone: (904) 262-9204
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN GRANGER
  • NPI Number: 1932381217
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0269780
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 10601 SAN JOSE BLVD SUITE 1404
City JACKSONVILLE
State FL
ZIP 32257
Phone 9042629204
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director BRIAN GRANGER

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This page was last updated on: 5/18/2026