10D0966310 CLIA NUMBER - DRS BAKER AND GILMOUR MD PA

Laboratory Demographics

  • CLIA Code: 10D0966310
  • Facility Name: DRS BAKER AND GILMOUR MD PA
  • Facility Address: 11701-32 SAN JOSE BLVD SUITE 106
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 880-0025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TREVOR O. GREENE
  • NPI Number: 1962555490
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0966310
LAB Type Physician Office
Facility Name DRS BAKER AND GILMOUR MD PA
Street 11701-32 SAN JOSE BLVD SUITE 106
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 880-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director TREVOR O. GREENE

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