10D0726213 CLIA NUMBER - BAPTIST PRIMARY CARE HARBOUR PLACE

Laboratory Demographics

  • CLIA Code: 10D0726213
  • Facility Name: BAPTIST PRIMARY CARE HARBOUR PLACE
  • Facility Address: 13001-100 ATLANTIC BLVD
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 904 221-0264
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. WATERS
  • NPI Number: 1144401100
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0726213
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE HARBOUR PLACE
Street 13001-100 ATLANTIC BLVD
City JACKSONVILLE
State FL
ZIP 32225
Phone 904 221-0264
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director MICHAEL L. WATERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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