10D0926779 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D0926779
  • Facility Name: BAPTIST PRIMARY CARE
  • Facility Address: 463832 SR 200
    YULEE, FL
    ZIP 32097
  • Facility Phone: 904 225-2311
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEVIN WHITE
  • NPI Number: 1265614556
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0926779
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE
Street 463832 SR 200
City YULEE
State FL
ZIP 32097
Phone 904 225-2311
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director KEVIN WHITE

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