10D0869945 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D0869945
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 10898 BAYMEADOWS RD STE 300
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 363-2733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BUD L. WOLFSON
  • NPI Number: 1285816579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0869945
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 10898 BAYMEADOWS RD STE 300
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 363-2733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director BUD L. WOLFSON

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This page was last updated on: 3/20/2025