10D1059414 CLIA NUMBER - BAPTIST CARDIOLOGY INC DBA BAPTIST HEART SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D1059414
  • Facility Name: BAPTIST CARDIOLOGY INC DBA BAPTIST HEART SPECIALISTS
  • Facility Address: 3225 UNIVERSITY BLVD S STE 104
    JACKSONVILLE, FL
    ZIP 32216
  • Facility Phone: 904 399-1171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHREYA GHETIYA
  • NPI Number: 1619240603
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1059414
LAB Type Physician Office
Facility Name BAPTIST CARDIOLOGY INC DBA BAPTIST HEART SPECIALISTS
Street 3225 UNIVERSITY BLVD S STE 104
City JACKSONVILLE
State FL
ZIP 32216
Phone 904 399-1171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director SHREYA GHETIYA

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This page was last updated on: 6/4/2025