10D0862528 CLIA NUMBER - BAPTIST PRIMAY CARE

Laboratory Demographics

  • CLIA Code: 10D0862528
  • Facility Name: BAPTIST PRIMAY CARE
  • Facility Address: 6142 COLLINS RD
    JACKSONVILLE, FL
    ZIP 32244
  • Facility Phone: 904 778-3200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMILA K. PERERA
  • NPI Number: 1720269780
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0862528
LAB Type Physician Office
Facility Name BAPTIST PRIMAY CARE
Street 6142 COLLINS RD
City JACKSONVILLE
State FL
ZIP 32244
Phone 904 778-3200
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 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director AMILA K. PERERA

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