10D0674562 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D0674562
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 810 LANE AVE S
    JACKSONVILLE, FL
    ZIP 32205
  • Facility Phone: 904 783-9680
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: H JACKSON DOWNEY
  • NPI Number: 1568643443
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0674562
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 810 LANE AVE S
City JACKSONVILLE
State FL
ZIP 32205
Phone 904 783-9680
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director H JACKSON DOWNEY

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