10D0726314 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D0726314
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 10601 SAN JOSE BOULEVARD, SUITE 1401
    JACKSONVILLE, FL
    ZIP 32257
  • Facility Phone: 904 260-3200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICIA CALHOUN
  • NPI Number: 1225219157
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0726314
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 10601 SAN JOSE BOULEVARD, SUITE 1401
City JACKSONVILLE
State FL
ZIP 32257
Phone 904 260-3200
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 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director PATRICIA CALHOUN

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