10D0726357 CLIA NUMBER - BAPTIST PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 10D0726357
  • Facility Name: BAPTIST PRIMARY CARE INC
  • Facility Address: 900 BEACH BOULEVARD
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Facility Phone: 904 249-0335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN STARK
  • NPI Number: 1942481999
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0726357
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE INC
Street 900 BEACH BOULEVARD
City JACKSONVILLE BEACH
State FL
ZIP 32250
Phone 904 249-0335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director JUSTIN STARK

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