10D1035583 CLIA NUMBER - BAPTIST PRIMARY CARE NASSAU

Laboratory Demographics

  • CLIA Code: 10D1035583
  • Facility Name: BAPTIST PRIMARY CARE NASSAU
  • Facility Address: 220 S 14TH ST
    FERNANDINA BEACH, FL
    ZIP 32034
  • Facility Phone: 904 491-3688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID P. PAGE
  • NPI Number: 1851561666
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1035583
LAB Type Physician Office
Facility Name BAPTIST PRIMARY CARE NASSAU
Street 220 S 14TH ST
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 904 491-3688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director DAVID P. PAGE

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