10D0726129 CLIA NUMBER - BAPTIST PRIMARY CARE CALLAHAN

Laboratory Demographics

CLIA Number: 10D0726129

Facility Name: BAPTIST PRIMARY CARE CALLAHAN

Facility Address:
45465 5TH AVE
CALLAHAN, FL
ZIP 32011
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Facility Phone Number: 904 879-4544

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457532400

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024