10D0726129 CLIA NUMBER - BAPTIST PRIMARY CARE CALLAHAN

Laboratory Demographics

  • CLIA Code: 10D0726129
  • Facility Name: BAPTIST PRIMARY CARE CALLAHAN
  • Facility Address: 45465 5TH AVE
    CALLAHAN, FL
    ZIP 32011
  • Facility Phone: 904 879-4544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MEYER
  • NPI Number: 1457532400
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0726129
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE CALLAHAN
Street 45465 5TH AVE
City CALLAHAN
State FL
ZIP 32011
Phone 904 879-4544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director STEPHANIE MEYER

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